Active NPI
Aubrey Wallin
- Physical Therapy Assistant
- Boscobel, WI
National Provider Identifier
1497678593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4397-19
- Practice address
- 207 Parker St
Boscobel, WI 53805-1642 - Phone
- (608) 375-6342
- NPI assigned
- Aug 4, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4397-19 | WI | Primary |
Addresses
Primary practice location
207 Parker St
Boscobel, WI 53805-1642
Mailing address
207 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-6342
Other practice location 1
25951 Circle View Dr
Richland Center, WI 53581-4013
Phone (608) 647-2138
Other practice location 2
1400 W Seminary St
Richland Center, WI 53581-2099
Phone (608) 647-8931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1497678593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 PARKER ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051642",
"telephone_number": "608-375-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 PARKER ST",
"city": "BOSCOBEL",
"state": "WI",
"postal_code": "538051642",
"telephone_number": "608-375-6342"
}
],
"practiceLocations": [
{
"address_1": "25951 Circle View Dr",
"address_purpose": "LOCATION",
"city": "Richland Center",
"state": "WI",
"postal_code": "535814013",
"country_code": "US",
"telephone_number": "608-647-2138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 W Seminary St",
"address_purpose": "LOCATION",
"city": "Richland Center",
"state": "WI",
"postal_code": "535812099",
"country_code": "US",
"telephone_number": "608-647-8931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLIN",
"first_name": "AUBREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "4397-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boscobel, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.