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

Last updated

Mar 13, 2014By the provider in NPPES

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

• Amanda Rogers 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": "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. (Bone & Joint Clinic @ Wausau)
• Joselito Jimenez Bongco, PT
• Zaven C Boornazian, M.D.
• Thomas Boostrom, CRNA
• John Booth, MFT
• Jamie L Borchardt, OTR

• Occupational Therapy Assistant in Wausau, WI
• Providers in Wausau, WI by specialty
• 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.