MR. ADAM ALTENBURG (NPI# 1205437340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205437340 |
| Entity Type | Individual |
| Full Name | MR. ADAM ALTENBURG |
| Practice Address |
104 Fakes Ct Beaver Dam WI 53916-2699 |
| Practice Telephone | 9203569818 |
| Mailing Telephone | 9203569818 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 3012-19 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
104 FAKES CT |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992729818 | Amy E Neubecker | Speech-Language Pathologist | 104 Fakes Ct, Beaver Dam, WI 53916-2699 | 2006-07-26 |
| 1265090559 | Beaver Dam Assisted Living, LLC | Alzheimer Center (Dementia Center) | 104 Fakes Ct, Beaver Dam, WI 53916-2699 | 2019-05-31 |
| 1467972505 | Nick Gaffney | Physical Therapy Assistant | 104 Fakes Ct, Beaver Dam, WI 53916-2699 | 2017-06-20 |
| 1801326186 | Liberty Siebrecht | Speech-Language Pathologist | 104 Fakes Ct, Beaver Dam, WI 53916-2699 | 2017-06-19 |
| 1265889158 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 104 Fakes Ct, C/o Landmark At Charleston House, Beaver Dam, WI 53916-2699 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902102643 | Jodi Carol Hougan | Physical Therapy Assistant | 1626 N Spring St, Suite B, Beaver Dam, WI 53916-1283 | 2011-01-27 |
| 1316588643 | Paula Miller | Physical Therapy Assistant | 201 Gateway Dr Ste 300, Beaver Dam, WI 53916-9176 | 2019-10-08 |
| 1467972505 | Nick Gaffney | Physical Therapy Assistant | 104 Fakes Ct, Beaver Dam, WI 53916-2699 | 2017-06-20 |
| 1689125064 | Gregory Beier | Physical Therapy Assistant | 705 S University Ave Ste 150, Beaver Dam, WI 53916-3071 | 2016-10-20 |
| 1689939639 | Andrea Michelle Bluel | Physical Therapy Assistant | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2012-07-05 |
| 1952576696 | Sherry Lynn Williams | Physical Therapy Assistant | 410 Roedl Ct, Beaver Dam, WI 53916-2934 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205381 | David F. Erickson | Physical Therapy Assistant | 5609 Sandpiper Ln, Madison, WI 53716-4406 | 2020-11-03 |
| 1235746967 | Brianna Reed Mackey | Physical Therapy Assistant | 2746 22nd Ave, Rice Lake, WI 54868-9047 | 2020-09-27 |
| 1659984425 | Kathryn Jennifer Schmidt | Physical Therapy Assistant | Abbotsford Healthcare Center, 600 E Elm St, Abbotsford, WI 54405 | 2020-08-31 |
| 1952913899 | Brandii Cabrera | Physical Therapy Assistant | 419 Labelle St, Boscobel, WI 53805-1424 | 2020-08-21 |
| 1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
| 1396365128 | Paige Harpenau | Physical Therapy Assistant | 4821 Tanglewood Ave, Racine, WI 53402-2544 | 2020-04-22 |
| 1992334916 | Torin Fendos | Physical Therapy Assistant | 2700 W Honadel Blvd, Oak Creek, WI 53154-2650 | 2020-04-02 |
| 1033746250 | Michael Vokes | Physical Therapy Assistant | 4131 W Loomis Rd Ste 200, Greenfield, WI 53221-2041 | 2020-03-26 |
| 1083241814 | Logan Narges | Physical Therapy Assistant | 428 N 6th Street, Tomahawk, WI 54487-5448 | 2020-03-23 |
| 1982239893 | Shelby Castle Roggensack | Physical Therapy Assistant | 29 Craig Ave, Madison, WI 53705-1335 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.