Jodi Ann Pawlik Weisenbeck, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2680-19 Issued in WI

Practice address

901 Bridge Creek LN
Augusta, WI 54722-2603

Phone

(715) 286-2266

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By the provider in NPPES

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

• Jodi Ann Pawlik 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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1689188435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2029 COUNTY ROAD K",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547368040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BRIDGE CREEK LN",
            "city": "AUGUSTA",
            "state": "WI",
            "postal_code": "547222603",
            "telephone_number": "715-286-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBECK",
        "first_name": "JODI",
        "middle_name": "ANN PAWLIK",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2680-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "PAWLIK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Catherine Strom, COTA
• The Lakes Community Health Center, Inc (NorthLakes Community Clinic)
• Kayla Turpin, CSAC
• University of Wisconsin Medical Foundation
• Katherine Wang, MD
• Donna Jean Weix

• Physical Therapy Assistant in Augusta, WI
• Providers in Augusta, 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 Nov 30, 2017; 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.