KRISTIN JOLENE PRUNCHAK (NPI# 1922652429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922652429 |
| Entity Type | Individual |
| Full Name | KRISTIN JOLENE PRUNCHAK |
| Other Name | KRISTIN JOLENE BRIMEYER |
| Credential | PTA |
| Practice Address |
4130 Northwest Blvd Davenport IA 52806-4243 |
| Mailing Address |
3399 Sunny Hill Dr Bettendorf IA 52722-2316 |
| Practice Telephone | 5633883291 |
| Mailing Telephone | 5633438924 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NONE OBTAINED | NONE | 01 |
| Street Address |
4130 NORTHWEST BLVD |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484271 | Christian Retirement Homes, Inc. | Nursing Facility/Intermediate Care Facility | 4130 Northwest Blvd, Davenport, IA 52806-4243 | 2005-08-22 |
| 1356996235 | Amy L Belken | Physical Therapist | 4130 Northwest Blvd, Davenport, IA 52806-4243 | 2019-08-07 |
| 1255853347 | Leanne Marie Binion | Nurse Practitioner | 4130 Northwest Blvd, Davenport, IA 52806-4243 | 2017-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| 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 |
|---|---|---|---|---|
| 1881873933 | Shelley Kay Gaul | Physical Therapy Assistant | 1101 W 9th St, Davenport, IA 52804-3732 | 2007-10-25 |
| 1487863916 | Miriam Costa | Physical Therapy Assistant | 735 Briargrove Ave, Davenport, FL 33837-5841 | 2007-05-22 |
| 1700485505 | Tyler Beauchamp | Physical Therapy Assistant | 6101 Northwest Blvd, Davenport, IA 52806-1861 | 2020-10-22 |
| 1639719826 | Alyssa Totedo | Physical Therapy Assistant | 3540 E 46th St, Davenport, IA 52807-3403 | 2020-01-15 |
| 1144796772 | Mary Knowlton | Physical Therapy Assistant | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-10-22 |
| 1861972580 | Jacob Dunn | Physical Therapy Assistant | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-08-21 |
| 1093245193 | Randi Decap | Physical Therapy Assistant | 6701 Jersey Ridge Rd, Davenport, IA 52807-3203 | 2017-06-13 |
| 1053771444 | Kevin Karnstedt | Physical Therapy Assistant | 800 E Rusholme St, Davenport, IA 52803-2547 | 2016-02-29 |
| 1518355353 | Stephanie Dittmer | Physical Therapy Assistant | 1820 W 3rd St, Davenport, IA 52802-1812 | 2015-01-01 |
| 1902233455 | Sarah Michelle Gasser | Physical Therapy Assistant | 700 Waverly Rd, Davenport, IA 52804-4317 | 2013-09-30 |
| Find all providers in DAVENPORT | ||||
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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.