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

Shallin Rose Niemyjski, PTA

Individual provider Physical Therapy Assistant · NPI 1053054692

Shallin Rose Niemyjski, PTA is a Physical Therapy Assistant in Lake Geneva, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

211 S Curtis St
Lake Geneva, WI 53147-2052
Phone: (262) 248-3148
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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

Record details

NPI number1053054692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESApril 20, 2022
Certification dateApril 15, 2022

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