Therese Endres

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2500-19 Issued in WI

Practice address

103 S Pioneer Rd Ste 100
Fond Du Lac, WI 54935-3800

Phone

(920) 922-7776

NPI assigned

Jul 15, 2016

Last updated

Jun 14, 2021By 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

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": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1861845794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S PIONEER RD STE 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353800",
            "telephone_number": "920-922-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S PIONEER RD STE 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353800",
            "telephone_number": "920-922-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2500-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Elbadrawy, MD
• Michele Dee Ellefson, DNP, APNP
• Jordyn Ellis
• Amy S Emmer-Sheldon, MD
• Martha A Endejan
• Oana Enea, D.O.
• Mallory Engelhardt
• Ephphatha Tiny Mouth Therapy LLC
• Connie Ernser
• Alan Ernst

• Physical Therapy Assistant in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 Jun 14, 2021; 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.