Active NPI
Alexxis Chyann Kemp
- Physical Therapy Assistant
- Mauston, WI
National Provider Identifier
1891520250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4178-19
- Practice address
- 1050 Division St
Mauston, WI 53948-1931 - Phone
- (608) 847-6161
- NPI assigned
- Sep 5, 2024
- 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 Therapy Assistant | 225200000X | 4178-19 | WI | Primary |
Addresses
Primary practice location
1050 Division St
Mauston, WI 53948-1931
Mailing address
690 Kennedy St
Mauston, WI 53948-1404
Phone (608) 847-1422
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 |
|---|---|---|---|
| 4178-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1891520250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 KENNEDY ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481404",
"telephone_number": "608-847-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DIVISION ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481931",
"telephone_number": "608-847-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "ALEXXIS",
"middle_name": "CHYANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "4178-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauston, WI
- Juneau County (Juneau County Department of Human Services/CLTS)
- David Thomas Jurgensen, D.C.
- Sarah E Kasten, LPC - IN TRAINING
- Daniel W. Kattenbraker, M.D.
- Lisa Lynn Kelbel, PROF MENTAL HLTH TEC
- Jacqueline A Kemp, CRNA
- Catherine Kidd, PA
- Jennifer Klett, RDH
- Monica Dawn Knudtson, RD, CD
- Krista L Knupp, SW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.