Tayler Leigh Maulick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2681-19 Issued in WI

Practice address

1700 Midway Rd
Menasha, WI 54952

Phone

(920) 739-0111

NPI assigned

Nov 19, 2017

Last updated

Aug 9, 2018By 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

Other names 1

• Tayler Leigh Woelz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Oshkosh, WI
  • NPI 1386381598
  NPD
• Parkview Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Green Bay, WI
  • NPI 1104394758
  NPD (past)

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1306350970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 S FIDELIS ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MIDWAY RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "54952",
            "telephone_number": "920-739-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULICK",
        "first_name": "TAYLER",
        "middle_name": "LEIGH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2681-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLER",
            "last_name": "WOELZ",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dayne John Marlenga, PTA
• Amechia A Matthews
• Ashley Ann Matthies, LPC
• Heather Mattson, MSW, LCSW
• Chris Matula
• Katherine Ann Mayer, MSE
• Peter L Mayo, LPC
• Wendy Mayr
• Paul McCarty
• Margaret McEwen

• Physical Therapy Assistant in Menasha, WI
• Providers in Menasha, 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 Aug 9, 2018; 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.