ANGELA MARIE JIRACEK (NPI# 1124687017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124687017 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE JIRACEK |
| Credential | PTA |
| Practice Address |
W76n677 Wauwatosa Rd Cedarburg WI 53012-1707 |
| Mailing Address |
W76n677 Wauwatosa Rd Cedarburg WI 53012-1799 |
| Practice Telephone | 2623775060 |
| Mailing Telephone | 2623775060 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
823 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
W76N677 WAUWATOSA RD |
| City | CEDARBURG |
| State | WI |
| Zip Code | 53012-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205990967 | Patricia Jo Odwyer | Pharmacist | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2006-12-20 |
| 1851990162 | Maria Stewart | Physical Therapy Assistant | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2020-10-19 |
| 1134759129 | Darcy Mcmurtagh | Occupational Therapy Assistant | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2020-01-19 |
| 1740794361 | Tammy Mccormick | Physical Medicine & Rehabilitation | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2017-11-17 |
| 1902175383 | Alan Henry Becker | Physical Therapist | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2011-12-14 |
| 1538437173 | Patricia Jo Lynch | Physical Therapy Assistant | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2011-12-10 |
| 1255618229 | Hayly Kennedy | Occupational Therapy Assistant | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2011-11-04 |
| 1003103649 | Brianna Noelle Zeinert | Speech-Language Pathologist | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 | 2011-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565351 | Angela Marie Phillips | Counselor | 8750 Western Rd, Cedarburg, WI 53012 | 2015-04-09 |
| 1922403641 | Nickolas Wimble | Hearing Instrument Specialist | W62n244 Washinton St, #104, Cedarburg, WI 53012 | 2014-10-23 |
| 1285902429 | Mary B Pistiner | Pharmacist | W62 N190 Washington Ave, Walgreens, Cedarburg, WI 53012 | 2011-12-02 |
| 1285931360 | Accuquest Hearing Centers | Clinic/Center | N54w65 Mill Street, Ste 800, Cedarburg, WI 53012 | 2011-02-25 |
| 1417283532 | Laura Egan Cutler | Speech-Language Pathologist | N87 W6334 Brookdale Dr, Cedarburg, WI 53012 | 2009-10-23 |
| 1790945053 | Diane M Kerkman | Licensed Practical Nurse | W63 N14264 Washington Ave #13, Cedarburg, WI 53012 | 2008-06-11 |
| 1346416856 | Robert H Schwengel | Dentist | W62n179 Washington Ave, Cedarburg, WI 53012 | 2008-05-05 |
| 1174710479 | Assisted Living Concepts Inc | Assisted Living Facility | W56 N225 Mckinley Blvd, Cedarburg, WI 53012 | 2007-10-01 |
| 1699968016 | Jay Timothy Brogelman | Occupational Therapy Assistant | N27 W5707 Lincoln Blvd., Cedar Springs Health and Rehabilitation Center, Cedarburg, WI 53012 | 2007-08-20 |
| 1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
| Find all providers in zip 53012 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500393 | Health and Rehabilitation Consultants, Inc. | Physical Therapist | 4922 Columbia Rd, Cedarburg, WI 53012-9188 | 2005-10-03 |
| 1952515272 | Donald L. Olsen | Physical Therapist | 4922 Columbia Rd, Cedarburg, WI 53012-9188 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
| 1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
| 1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANGELA MARIE JIRACEK.
| 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.