Amanda Boneske, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2043-027 Issued in WI

Practice address

333 Pine Ridge Blvd
Wausau, WI 54401-4120

Phone

(715) 847-2000

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Amanda Rogers Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2014.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1679748438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6578 IRON BRIDGE RD",
            "city": "ATHENS",
            "state": "WI",
            "postal_code": "544118409",
            "telephone_number": "715-470-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014120",
            "telephone_number": "715-847-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONESKE",
        "first_name": "AMANDA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "2043-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ROGERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Bohn-Fochs, P.T.
• Jill Bohn, APNP, FNP-BC, IBCLC
• Sarah Bondioli-Naranjo
• Bone & Joint Clinic S.C.
• Bone & Joint Clinic S.C.
• Joselito Jimenez Bongco, PT
• Zaven C Boornazian, M.D.
• Thomas Boostrom, CRNA
• John Booth, MFT
• Jamie L Borchardt, OTR

• All providers in Wausau, WI
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.