MR. EDWARD M. LEITZE (NPI# 1396842720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396842720 |
| Entity Type | Individual |
| Full Name | MR. EDWARD M. LEITZE |
| Credential | PTA |
| Practice Address |
2705 Enloe St Hudson WI 54016-8173 |
| Mailing Address |
211 Warwick St Se Minneapolis MN 55414-3622 |
| Practice Telephone | 7153862128 |
| Practice Fax Number | 7153866119 |
| Mailing Telephone | 6123798172 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 451 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40176300 | 05 |
| Street Address |
2705 ENLOE ST |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-8173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932205564 | Deanna M. Wanzek | Physical Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2006-09-14 |
| 1790301794 | Diane Meyer | Speech-Language Pathologist | 2705 Enloe St, Hudson, WI 54016-8173 | 2020-06-25 |
| 1588297311 | Nicole Koenke | Occupational Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2020-02-20 |
| 1801338652 | Its of Wi | Speech-Language Pathologist | 2705 Enloe St, Hudson, WI 54016-8173 | 2016-11-10 |
| 1265882138 | Caitlin Russ | Occupational Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2016-06-21 |
| 1144683871 | Allison Gilbert | Occupational Therapist | 2705 Enloe St, Hudson, WI 54016-8173 | 2016-03-31 |
| 1225383292 | Jennifer V Nilssen | Community Health Worker | 2705 Enloe St, Hudson, WI 54016-8173 | 2012-07-17 |
| 1841516713 | Points of Stillness LLC | Specialist | 2705 Enloe St, Hudson, WI 54016-8173 | 2010-04-15 |
| 1902137441 | Mary Ellen Westerlund | Occupational Therapy Assistant | 2705 Enloe St, Hudson, WI 54016-8173 | 2010-01-22 |
| 1003072992 | Martha J Swanson | Physical Therapy Assistant | 2705 Enloe St, Hudson, WI 54016-8173 | 2008-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| 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 |
|---|---|---|---|---|
| 1548646904 | Eddie Pennington | Physical Therapy Assistant | 142 Fairway Ave Apt 3, Hudson, NC 28638-2472 | 2015-08-07 |
| 1205255890 | Lisa Stejskal | Physical Therapy Assistant | 29 Bear Path Ln, Hudson, NH 03051-6402 | 2014-04-10 |
| 1588909790 | Keith Welsh | Physical Therapy Assistant | 11222 Pebble Glen Way, Hudson, FL 34667-5735 | 2012-11-29 |
| 1124362959 | Stephanie Ekola | Physical Therapy Assistant | 435 Abbott Farm Ln, Hudson, NH 03051-3686 | 2012-11-16 |
| 1124362017 | Tonia Lynn Scott | Physical Therapy Assistant | 4498 Magnolia Ln # Ls, Hudson, NC 28638-9770 | 2012-11-16 |
| 1639387467 | Kenneth Edward Goodell | Physical Therapy Assistant | 12401 Partridge Hill Row, Hudson, FL 34667-2328 | 2007-05-17 |
| 1780283507 | Brooke Nicole Fishel | Physical Therapy Assistant | 203 N East St, Hudson, IL 61748-9434 | 2020-10-22 |
| 1215544622 | Hannah Allison Spilker | Physical Therapy Assistant | 11820 Denton Ave, Hudson, FL 34667-5419 | 2020-09-29 |
| 1720690795 | Michelle Lynn Pace | Physical Therapy Assistant | 13719 Dallas Dr, Hudson, FL 34667-7133 | 2020-08-20 |
| 1871104471 | Richard Scott Shanks Jr. | Physical Therapy Assistant | 205 Washington St, Hudson, MA 01749-2782 | 2020-08-17 |
| Find all providers in HUDSON | ||||
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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.