Amanda Boneske, COTA
Occupational Therapy Assistant in Wausau, WI. Individual provider (NPI-1).
NPI number1679748438
StatusActive
Last updated in NPPESMar 13, 2014
Details
- NPI
- 1679748438
- Entity type
- Individual (NPI-1)
- Name
- Amanda Boneske
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2008
- Last updated
- Mar 13, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 2043-027 | WI | Yes |
Other names
- Amanda Rogers (Former Name)
Practice location
333 Pine Ridge BlvdWausau, WI 54401-4120
Phone 715-847-2000
Mailing address
6578 Iron Bridge RdAthens, WI 54411-8409
Phone 715-470-0586
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Occupational Therapy Assistant providers in Wausau · All 2,366 providers in Wausau
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