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Amy Beth Flock , PTA

Physical Therapy Assistant β€’ Mukwonago, WI

Active NPI 1215966908 Individual Practitioner Female Practitioner
Practice location in NPPES

955 Main St Ste Cd
Mukwonago, WI 531491752

Call 2626629760 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

955 Main St Ste Cd

Mukwonago, WI 531491752

Telephone 2626629760
Fax 2626629761
Organization at the Same NPPES Address or Phone
Hammer Rehab & Fitness, Ltd Facility NPI 1205862133

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mukwonago and Wisconsin

2 active clinicians are listed under Physical Therapy Assistant with a practice address in Mukwonago, WI (2,217 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-27
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

License # reported to NPPES WI 348-019

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
40437000 (WI)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kathryn Hammer , PT

Physical Therapist

NPI 1023198991

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 27, 2024

Registered at 955 MAIN ST STE CD, MUKWONAGO, WI 531491752 (Tel: 2626629760)

πŸ“
Updated Practice Location October 19, 2022

Registered at W231S7680 BIG BEND DR, BIG BEND, WI 531039686 (Tel: 2626629760)

πŸ“
Updated Business Mailing Address October 19, 2022

Registered at 29632 CLOVER LN, WATERFORD, WI 531855004 (Tel: 4146400335)

βœ…
NPI Profile Active June 09, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2014

Registered at 2319 FOX KNOLL DR, WATERFORD, WI 53185 (Tel: 2625342213)

πŸ“
Business Mailing Address (Initial Record) June 09, 2014

Registered at 1701 SHARP ROAD, WATERFORD, WI 53185 (Tel: 2625347297)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2014

Recorded as AMY FLOCK, PTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2014

Physical Therapy Assistant (license number reported to NPPES: WI 348-019)

🟒
Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215966908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2006
Last Update: November 27, 2024
Sole Proprietor: No

Mailing Address

29632 Clover Ln

Waterford, WI 531855004

Phone: 4146400335

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.