Active NPI
Amy Kathleen Gauger, PT
- Physical Therapist
- Mequon, WI
National Provider Identifier
1871531756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4192-024
- Practice address
- 13111 N Port Washington Rd
Mequon, WI 53097-2416 - Phone
- (262) 243-7465
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4192-024 | WI | Primary |
Addresses
Primary practice location
13111 N Port Washington Rd
Mequon, WI 53097-2416
Mailing address
666 Heritage CT
Grafton, WI 53024-1180
Phone (262) 376-9258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4192-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871531756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "666 HERITAGE CT",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530241180",
"telephone_number": "262-376-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530972416",
"telephone_number": "262-243-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUGER",
"first_name": "AMY",
"middle_name": "KATHLEEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4192-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.