Active NPI
Amy Kay Breidenbach, DC DICCP
- Chiropractor
- Onalaska, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3732012
- Practice address
- N5498 St Rd 35
Onalaska, WI 54650 - Phone
- (608) 779-5323
- Fax
- (608) 779-5328
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3732012 | WI | Primary |
Addresses
Primary practice location
N5498 St Rd 35
Onalaska, WI 54650
Mailing address
N5498 St Rd 35
Onalaska, WI 54650
Phone (608) 779-5323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38930000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
C5560 County Rd ZM
Onalaska, WI 54650-1300
Phone (608) 779-5323
N5560 County Rd ZM
Onalaska, WI 54650-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3732012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breidenbach Family and Sports Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Breidenbach Prairie View Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Walz Physical Therapy and Wellness LLC | Past | Accepting new patients | |
| Back to Health Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
1526 Rose St
Ste 101
La Crosse, WI 54603
Phone (608) 386-9328
1526 Rose St
Ste 102
La Crosse, WI 54603
Phone (608) 781-9880
1605 Losey Blvd S
La Crosse, WI 54601
Phone (608) 788-7880
N5560 County Road ZM
Onalaska, WI 54650
Phone (608) 397-4523
Organizations & group practices 4
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.
-
- Chiropractor
- La Crosse, WI
- NPI 1003987652
-
- Chiropractor
- Onalaska, WI
- NPI 1669151171
-
- Chiropractor
- La Crosse, WI
- NPI 1912107798
-
- Physical Therapy Clinic/Center
- Onalaska, WI
- NPI 1689456824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376644567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N5498 ST RD 35",
"city": "ONALASKA",
"state": "WI",
"postal_code": "54650",
"telephone_number": "608-779-5323",
"fax_number": "608-779-5328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N5498 ST RD 35",
"city": "ONALASKA",
"state": "WI",
"postal_code": "54650",
"telephone_number": "608-779-5323",
"fax_number": "608-779-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREIDENBACH",
"first_name": "AMY",
"middle_name": "KAY",
"credential": "DC DICCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3732012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38930000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.