Lynette Timmers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1686-19 Issued in WI

Practice address

1010 E Wausau Ave
Wausau, WI 54403-3101

Phone

(715) 842-2028

NPI assigned

Aug 30, 2011

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

Other names 1

• Lynette Pludeman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1659652030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E WAUSAU AVE # NA",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033101",
            "telephone_number": "715-842-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E WAUSAU AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033101",
            "telephone_number": "715-842-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Alderson St",
            "address_2": "NA",
            "address_purpose": "LOCATION",
            "city": "Schofield",
            "state": "WI",
            "postal_code": "544763614",
            "country_code": "US",
            "telephone_number": "715-359-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMERS",
        "first_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1686-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "PLUDEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Marie Thurs, APNP
• Katrina M Thurs, MS CCC SLP
• David Tice, MS, LPC
• Gabriel Ticho, MD
• Nicole Renee Tieman, RPH
• Timothy C. Romang MD SC
• Michael Ting, M.D.
• Lori A Tolksdorf, PA-C
• Ciomara Tomas-Bautista
• Christian L Tomski

• Physical Therapy Assistant in Wausau, WI
• Providers in Wausau, 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 Jun 21, 2022; 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.