Alicia Birschbach

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2634 Issued in WI

Practice address

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999

Phone

(920) 907-7270

NPI assigned

Jun 21, 2019

Last updated

Jun 21, 2019By 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

• Alicia Meyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1326609306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3932 HICKORY RD",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549379119",
            "telephone_number": "920-979-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WISCONSIN AMERICAN DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549372999",
            "telephone_number": "920-907-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRSCHBACH",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MEYER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jill Marie Bethe, RN
• Ashley Beyer, LAT
• Louann L Biddick, NP
• Carolanne Marjorie Bilitz
• Danielle Billmann, PT
• Cortney D Birschbach, OD
• Jennifer H Bissell, MD
• Patrick J Bissell, MD
• Sarah Blaha
• Sydney Li Blaine

• Physical Therapy Assistant in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 21, 2019; 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.