IndividualActive
Amanda Boneske, COTA
NPI 1679748438 · Occupational Therapy Assistant · Wausau, WI
Provider details
- NPI number
- 1679748438
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2043-027 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone: (715) 847-2000
Street-level locationGet directions
Mailing address
6578 Iron Bridge Rd
Athens, WI 54411-8409
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2014-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.