Veronica Jo Shelby Buchweitz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4158-019 Issued in WI

Practice address

4235 Red Pine Dr
Eagle River, WI 54521

Phone

(847) 802-2240

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By 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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1932931623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 RED PINE DR",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "54521",
            "telephone_number": "847-802-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 RED PINE DR",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "54521",
            "telephone_number": "847-802-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHWEITZ",
        "first_name": "VERONICA",
        "middle_name": "JO SHELBY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "4158-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall L Athens, RPH
• Kris Ann Barnekow, PHD,OTR/L,IMH-E
• Scott David Beattie, DDS
• Marianne Bergs
• Jill K Brunstad, PA
• Bradley Camp, DDS
• Kathryn A Carr, PTA
• Susan Kay Chobanov
• Kristine Cloutier, C.AC.
• Alayna Colombino, PTA

• Physical Therapy Assistant in Eagle River, WI
• Providers in Eagle River, 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 Aug 20, 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.

Verify at the official NPI Registry.