Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Carroll, PTA

Individual provider Physical Therapy Assistant · NPI 1306126115

Amy Carroll, PTA is a Physical Therapy Assistant in Lake Geneva, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2011.

Licensed in
IL, WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160005984 (IL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1820-19 (WI)

Record details

NPI number1306126115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 29, 2012
Mailing address4401 N Main St, Rockford, IL 61103-1277

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