Katelyn Vareldzis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4145-19 Issued in WI

Practice address

11363 N Port Washington Rd
Mequon, WI 53092-3411

Phone

(262) 833-2060

Fax

(262) 833-2061

NPI assigned

Feb 1, 2024

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

• Katelyn Haseker Former name

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1679336879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11363 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923411",
            "telephone_number": "262-833-2060",
            "fax_number": "262-833-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELDZIS",
        "first_name": "KATELYN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "4145-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "HASEKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy C Vance, LCSW
• Samuel David Gjerset Vandehaar
• Aishwarya Vang
• Xia Vang, MD
• Lauren Vanloon, PA
• Samantha J Varney, PA
• Ruchira Varshney, D.O.
• Heather K Vartanian, APNP
• Julianne M Velazquez
• Rhonda Lynn Verdegan, PHD, LAT, ATC CSCS

• Physical Therapy Assistant in Mequon, WI
• Providers in Mequon, 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 May 16, 2025; 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.