Nicholas Yeutter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13555-24 Issued in WI

Practice address

S74W16775 Janesville Rd Ste 120
Muskego, WI 53150-7742

Phone

(414) 422-2191

Fax

(414) 422-2193

NPI assigned

Oct 10, 2016

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1801346218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 W WILBUR DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515465",
            "telephone_number": "414-630-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S74W16775 JANESVILLE RD STE 120",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507742",
            "telephone_number": "414-422-2191",
            "fax_number": "414-422-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUTTER",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13555-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Wierzba
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• Pattie Yets
• Molly Yurk, NP
• Carl Zenz, MD,MPH
• Joy Berger Zganjar
• Hannah Zimmerman, DPT

• Physical Therapist in Muskego, WI
• Providers in Muskego, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.