Beth Renee Gundlach, L.P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1299-019 Issued in WI

Practice address

1405 Truax Blvd
Eau Claire, WI 54703-1474

Phone

(715) 552-1030

NPI assigned

Dec 13, 2006

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 identifiers 1

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1437210093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 RICHARD DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016340",
            "telephone_number": "715-563-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 TRUAX BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031474",
            "telephone_number": "715-552-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Ridenour Blvd NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301524528",
            "country_code": "US",
            "telephone_number": "704-862-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDLACH",
        "first_name": "BETH",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "L.P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1299-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36108300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Paul Grube, PA-C
• Kelly Gruber, APNP
• Rebecca K. Gruber, NP
• James George Gullberg, PA-C
• Erin Marie Gumm, LMHC
• Becky Gunthert, CNM
• Naga Tarun Guntupalli
• Bin Guo, MD
• Carmelina Gurrieri, M.D.
• Brent Gust, MSW, APSW

• Physical Therapy Assistant in Eau Claire, WI
• Providers in Eau Claire, 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 Oct 8, 2025; 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.