MADONNA MARIE BROQUET (NPI# 1437439239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437439239 |
| Entity Type | Individual |
| Full Name | MADONNA MARIE BROQUET |
| Credential | PTA |
| Practice Address |
3516 Waukegan Rd Mchenry IL 60050-5732 |
| Mailing Address |
Po Box 369 Lake Villa IL 60046-0369 |
| Practice Telephone | 8152715249 |
| Mailing Telephone | 8474212148 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 1441-19 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | 160.001738 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3516 WAUKEGAN RD |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704873 | Kathi Garrett Richardson | Physical Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2019-01-16 |
| 1063941169 | Samantha Leigh Wahlgren | Occupational Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2017-06-12 |
| 1134542475 | Gabrielle Fisher | Occupational Therapist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2014-01-22 |
| 1124457601 | Marilyn Brastad | Physical Therapy Assistant | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2013-11-05 |
| 1891079844 | Maggie Kathleen Gates | Speech-Language Pathologist | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1285231167 | Georgia Rinda | Physical Therapy Assistant | 406 Front St # 110, Mchenry, IL 60050-5593 | 2020-10-05 |
| 1417462821 | Sharon Marie Kunkel | Physical Therapy Assistant | 5435 Bull Valley Rd Ste 110, Mchenry, IL 60050-2209 | 2017-12-07 |
| 1104293893 | Leslie Ann Miller | Physical Therapy Assistant | 101 S Creekside Trl, Mchenry, IL 60050-5156 | 2015-08-28 |
| 1326435488 | Susan Burks | Physical Therapy Assistant | 3300 Charles J Miller Rd Apt 227, Mchenry, IL 60050-0714 | 2015-04-16 |
| 1306107065 | Kermalene Marie Ellsworth | Physical Therapy Assistant | 5006 Memory Trl, Mchenry, IL 60051-7778 | 2012-05-30 |
| 1588262877 | Jessie Johnson | Physical Therapy Assistant | 550 Ridgeview Dr, Mchenry, IL 60050 | 2020-10-09 |
| 1588261176 | Mariia Dluzhnevska | Physical Therapy Assistant | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-10-06 |
| 1205433893 | Gina Infusino | Physical Therapy Assistant | 550 Ridgeview Dr, Mchenry, IL 60050 | 2020-10-06 |
| 1366984783 | Lauren E. Loback | Physical Therapy Assistant | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2016-11-16 |
| 1124457601 | Marilyn Brastad | Physical Therapy Assistant | 3516 Waukegan Rd, Mchenry, IL 60050-5732 | 2013-11-05 |
| Find all providers in MCHENRY | ||||
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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.