Individual provider Active NPI

Amanda Patt, DPT

  • Rehabilitation Clinic/Center
  • Oshkosh, WI
National Provider Identifier
1629639141
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Practice address
500 S Oakwood Rd Ste 10
Oshkosh, WI 54904-7944
Phone
(920) 223-0567
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

500 S Oakwood Rd Ste 10
Oshkosh, WI 54904-7944

Mailing address

500 S Oakwood Rd Ste 10
Oshkosh, WI 54904-7944
Phone (920) 223-0567

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amanda.patt@ascension.org
Direct Messaging Address amanda.patt@ascension.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216000763 WI Practitioner - Physical Therapist in Private Practice 2264804426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Physical Therapy LLCGroup PAC ID 1850457417, 6 clinicians

Practice addresses (Care Compare)

480 N Koeller St
Oshkosh, WI 54902-4111
Phone (920) 233-8739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy LLC CurrentSince Jan 23, 2023 Accepting new patients

Locations

480 N Koeller St
Oshkosh, WI 54902
Phone (920) 233-8739

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1629639141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S OAKWOOD RD STE 10",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047944",
            "telephone_number": "920-223-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S OAKWOOD RD STE 10",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047944",
            "telephone_number": "920-223-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATT",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.patt@ascension.org",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "address_1": "500 S Oakwood Rd Ste 10",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.patt@ascension.org",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "address_1": "500 S Oakwood Rd Ste 10",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.