Tonya Dziekan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2076 Issued in WI

Practice address

533 W Hudson St
Mondovi, WI 54755-1413

Phone

(715) 495-2790

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1306227020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W HUDSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W HUDSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551413",
            "telephone_number": "715-495-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEKAN",
        "first_name": "TONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Sue Bielefeldt, FNP
• Indigo Yves Brown, D.O.
• Daniel G Cavanaugh, MD
• Jessica Marie Clauson
• Durand Optometry Clinic LLC Dba Mondovi Eye and Optical
• Sydney Jean Ede
• Susan Evans-Poeschel
• Cindy Fiser
• Beth Ann Hagen, D.M.D.
• Mohamed F Harunani, DDS

• Physical Therapy Assistant in Mondovi, WI
• Providers in Mondovi, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.