CHADD DAVID BLACK (NPI# 1326680109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326680109 |
| Entity Type | Individual |
| Full Name | CHADD DAVID BLACK |
| Credential | LPTA |
| Practice Address |
1049 N Edge Trl Verona WI 53593-1942 |
| Mailing Address |
4711 Eisenhower St Oregon WI 53575-2817 |
| Practice Telephone | 6088452100 |
| Mailing Telephone | 2622107726 |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2019-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 520-19 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1049 N EDGE TRL |
| City | VERONA |
| State | WI |
| Zip Code | 53593-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689645434 | Stellar Rehabilitation, LLC | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2006-01-30 |
| 1588271209 | Megan Clark | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2020-09-27 |
| 1578105045 | Stacie Russell | Occupational Therapy Assistant | 1049 N Edge Trl, Verona, WI 53593-1942 | 2019-10-16 |
| 1174009120 | Joseph Schilz | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2018-07-12 |
| 1598192866 | Pawel Adrian Moldysz | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2013-10-02 |
| 1265864607 | Joshua John Hedrich | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2013-08-08 |
| 1184992067 | Michelle Alexandra Dimartino | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2011-12-07 |
| 1538436399 | Julie Sullivan | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2011-11-22 |
| 1528298049 | Abbi-jane Lau | Occupational Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2009-07-17 |
| 1881858223 | Heather Mortenson | Physical Therapist | 1049 N Edge Trl, Verona, WI 53593-1942 | 2008-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385467 | Tracy D. Pollack | Physical Therapist | 1049 North Edge Trail, Verona, WI 53593 | 2017-09-25 |
| 1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
| 1730451162 | Ultimate Performance Therapy, LLC | Physical Therapist | 403 Venture Ct, Suite 2, Verona, WI 53593 | 2012-02-01 |
| 1417246372 | Hammes Family Chiropractic LLC | Chiropractor | 1029 North Edge Trail, Verona, WI 53593 | 2011-03-31 |
| 1457678120 | Danielle Marie Waite | Licensed Practical Nurse | 606 Green Meadow Dr., Verona, WI 53593 | 2010-04-21 |
| 1316113418 | Linda T Hofstetter | Occupational Therapist | 720 Arbor Vitae Pl, Verona, WI 53593 | 2008-05-08 |
| 1902070758 | Judith F. Koeppl | Counselor | 4123 Monona Drive, Madison, WI 53593 | 2008-04-14 |
| 1881885408 | Carolyn J Moynihan | Marriage & Family Therapist | 8283 N Riley Rd, Verona, WI 53593 | 2007-08-08 |
| 1194810515 | Selma Herbst | Social Worker | 3657 Vickiann St, Verona, WI 53593 | 2006-10-03 |
| 1295830529 | Daniel Joseph Wadzinski | Dentist | 109 East Verona Avenue, Verona, WI 53593 | 2006-09-13 |
| Find all providers in zip 53593 | ||||
| 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 |
|---|---|---|---|---|
| 1851748115 | Jonna L Bier | Physical Therapy Assistant | 1049 N. Edge Trail, Verona, WI 53593 | 2016-05-17 |
| 1528308921 | Jane Steele | Physical Therapy Assistant | 159 River Ridge Rd, Verona, VA 24482-2846 | 2013-02-21 |
| 1568712107 | Cassie B Christensen | Physical Therapy Assistant | 7114 110th Ave Se, Verona, ND 58490-9325 | 2012-09-11 |
| 1649335712 | Linda Jane Rewey | Physical Therapy Assistant | 3325 Mound View Rd, Verona, WI 53593-9743 | 2006-12-27 |
| 1992205272 | Alex Neal | Physical Therapy Assistant | 1100 E Verona Ave, Verona, WI 53593-8717 | 2018-02-13 |
| 1417311432 | Cheryl Ann Sexton | Physical Therapy Assistant | 5635 State Route 31, Verona, NY 13478 | 2016-04-06 |
| 1063874907 | Athena Miller | Physical Therapy Assistant | 5360 Saltsburg Rd, Verona, PA 15147-3033 | 2016-03-21 |
| 1184007825 | Traci Riemer | Physical Therapy Assistant | 5360 Saltsburg Rd, Verona, PA 15147-3033 | 2015-06-30 |
| 1811380249 | Jennifer Hile | Physical Therapy Assistant | 5360 Saltsburg Rd, Verona, PA 15147-3033 | 2015-03-10 |
| 1871871590 | Colleen Marie Tetzlaff | Physical Therapy Assistant | 5360 Saltsburg Rd, Verona, PA 15147-3033 | 2011-07-29 |
| Find all providers in VERONA | ||||
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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.