NICOLE KETCIK (NPI# 1063996056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063996056 |
| Entity Type | Individual |
| Full Name | NICOLE KETCIK |
| Practice Address |
2950 Lafranier Rd Traverse City MI 49686-4918 |
| Practice Telephone | 2319470506 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502005555 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2950 LAFRANIER RD |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750338521 | Birchwood Nursing Center Inc. | Skilled Nursing Facility | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2006-05-27 |
| 1861957037 | Michael Adam Gold | Nurse Practitioner | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2019-02-01 |
| 1497246367 | Andrea M Fritz | Occupational Therapist | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-05-25 |
| 1629574033 | Timothy John Zmudka | Speech-Language Pathologist | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-04-04 |
| 1619470796 | Jessie Stockwell | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-03-14 |
| 1134645419 | Gtc Opco, LLC | Skilled Nursing Facility | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2017-08-17 |
| 1972030864 | Chelsea Renell Fitzpatrick | Dietitian, Registered | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2017-05-22 |
| 1023568110 | Clay Lemcool Maxwell Lemcool | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-10-12 |
| 1861941056 | Sarah Gaby | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-09-28 |
| 1609229665 | Cheryl Ann Walch | Nurse Practitioner | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639637523 | Hanna Elizabeth Farkas | Physical Therapy Assistant | 3367 Panorama Ln, Traverse City, MI 49684-8065 | 2019-03-09 |
| 1043649726 | Ben Samborn | Physical Therapy Assistant | 4295 Balsam Cir, Traverse City, MI 49696-8328 | 2013-11-04 |
| 1619470796 | Jessie Stockwell | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-03-14 |
| 1023568110 | Clay Lemcool Maxwell Lemcool | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-10-12 |
| 1861941056 | Sarah Gaby | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-09-28 |
| 1386002194 | Cheryl Gay | Physical Therapy Assistant | 812 S Garfield Ave, Suite 1, Traverse City, MI 49686-3456 | 2016-02-08 |
| 1447647763 | Kathryn Smith | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2015-04-24 |
| 1629478995 | Chad Johnston | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2014-08-24 |
| 1093115321 | Alexandria Peacock | Physical Therapy Assistant | 2585 Lafranier Rd, Traverse City, MI 49686-8972 | 2014-08-22 |
| 1235569351 | Stacey Walton | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2013-11-27 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.