KIMBERLEY BOETTCHER (NPI# 1659993426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659993426 |
| Entity Type | Individual |
| Full Name | KIMBERLEY BOETTCHER |
| Credential | PTA |
| Practice Address |
7805 Birch St Weston WI 54476-5219 |
| Practice Telephone | 7152983833 |
| Mailing Telephone | 7152983833 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2934 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7805 BIRCH ST |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306281258 | Fpg & Lcd LLC | Skilled Nursing Facility | 7805 Birch St, Weston, WI 54476-5219 | 2013-05-06 |
| 1053899302 | Madison Baily Brummond | Occupational Therapist | 7805 Birch St, Weston, WI 54476-5219 | 2018-07-30 |
| 1720595366 | 3d Healthcare Consulting LLC | Clinic/Center | 7805 Birch St, Weston, WI 54476-5219 | 2018-01-04 |
| 1811409485 | Jessica Ryan - Geiger | Nurse Practitioner | 7805 Birch St, Weston, WI 54476-5219 | 2017-11-03 |
| 1972030856 | Qwapee Consulting LLC | Registered Nurse | 7805 Birch St, Weston, WI 54476-5219 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| 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 |
|---|---|---|---|---|
| 1063816338 | Sandra Blet | Physical Therapy Assistant | 1193 Hidden Valley Way, Weston, FL 33327-1819 | 2014-10-15 |
| 1366783698 | Evelyn Valero | Physical Therapy Assistant | 4161 Sapphire Ter, Weston, FL 33331-3142 | 2013-03-12 |
| 1356697460 | Paul Aaron Blankfeld | Physical Therapy Assistant | 16475 Golf Club Rd, Weston, FL 33326-1680 | 2012-07-25 |
| 1992024541 | David Srdic | Physical Therapy Assistant | 2224 Ensenada Ter, Weston, FL 33327-2243 | 2010-05-21 |
| 1184837189 | Tasha R Whitcomb | Physical Therapy Assistant | 4605 Valdres Springs Ct, Weston, WI 54476-4189 | 2007-05-07 |
| 1184284747 | Kara Schwarting | Physical Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2019-06-17 |
| 1245893106 | Teara Frederick | Physical Therapy Assistant | 1495 N Park Dr, Weston, FL 33326-3215 | 2019-04-17 |
| 1194211862 | Shana Britt Merchant | Physical Therapy Assistant | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2018-07-06 |
| 1477048882 | Amy Yolitz | Physical Therapy Assistant | 4810 Barbican Ave, Weston, WI 54476-4186 | 2018-06-27 |
| 1013405455 | Urvi Mehta | Physical Therapy Assistant | 2685 Executive Park Dr Ste 4, Weston, FL 33331-3651 | 2018-04-30 |
| Find all providers in WESTON | ||||
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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.