Jill Oostdyk, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1700-019 Issued in WI

Practice address

400 County Road R
Black River Falls, WI 54615-5129

Phone

(715) 284-5396

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1558605899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL ST",
            "city": "MELROSE",
            "state": "WI",
            "postal_code": "546428256",
            "telephone_number": "715-416-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOSTDYK",
        "first_name": "JILL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1700-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Clare Nordahl, CRNA
• Northland Hearing Centers, Inc. (Better Hearing Centre)
• Northwest Journey - Black River Falls
• Shelby M Nykiel, MD
• Cosmas Okpalaebube, PHARMACIST
• Tina Louise Opelt, RN MS CS FNP
• Jerry V Overman, D.D.S.
• Suchita Hardik Patel
• Jacob Peloquin, OT
• Brenna Ann Peters, DNP

• Physical Therapy Assistant in Black River Falls, WI
• Providers in Black River Falls, 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 Nov 26, 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.