Amanda C Hallberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12218-24 Issued in WI

Practice address

120 Keller Ave N
Amery, WI 54001-1034

Phone

(715) 268-8000

Fax

(715) 268-0111

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By 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)

Enrolled

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1386988210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 GRIFFIN ST E",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011439",
            "telephone_number": "715-268-8000",
            "fax_number": "715-268-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011034",
            "telephone_number": "715-268-8000",
            "fax_number": "715-268-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLBERG",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12218-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Ann Goulette, M.S., CCC-SLP
• Luke Grosskreutz, PT, DPT
• Theresa M Gunnarson, MD
• Edward Paul Hagen, D.O.
• Anthony Q. Hall, D.C.
• Emily Kathryn Hanka, RESIDENT
• Julie Anne Hanlon-Johnson, RPH
• Chona Hilario Hanson, PHYSICAL THERAPIST
• Dawn M. Harper, OTA
• Lisa A Hatcher, M.D.

• Physical Therapist in Amery, WI
• Providers in Amery, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.