Amy Sue Beranek, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2763-19 Issued in WI

Practice address

4810 Barbican Ave
Weston, WI 54476

Phone

(715) 393-0419

Fax

(715) 359-0938

NPI assigned

Jun 27, 2018

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

• Ms. Amy Sue Yolitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• RG-Rhinelander, Inc.

  • Skilled Nursing Facility
  • Rhinelander, WI
  • NPI 1407164312
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1477048882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232365 PEBBLESTONE RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-432-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BARBICAN AVE",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "715-393-0419",
            "fax_number": "715-359-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERANEK",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2763-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "YOLITZ",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "P.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Barnier
• Emily Bartig, PA-C
• Wade P Bateman, CRNA
• Maribeth Beck, N.P.
• Ryan Bemke, M.D.
• Steven Charles Bergin, M.D.
• Keshani Bhushan, M.D
• Roberta Louise Bie, OTA
• James S Bjork, PT
• Elijah Blair, MPAS, PA-C

• All providers in Weston, WI
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.