IndividualActive
Lacey Buchholtz
NPI 1043618580 · Physical Therapy Assistant · Augusta, WI
Provider details
- NPI number
- 1043618580
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2212-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
708 W Washington St
Augusta, WI 54722-9085
Phone: (715) 286-2488
Street-level locationGet directions
Mailing address
708 W Washington St
Augusta, WI 54722-9085
Additional practice locations (1)
- S9969 Wi-27Augusta, WI 54722Phone: (715) 286-2266
Registry dates
- Enumerated
- 2014-12-16
- Last updated
- 2020-03-26
- Certified
- 2020-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.