MS. LINDA KETTNER TUCKER (NPI# 1932342011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932342011 |
| Entity Type | Individual |
| Full Name | MS. LINDA KETTNER TUCKER |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
5000 Mequon Road Mequon WI 53092 |
| Mailing Address |
13345 N Windsor Ct Mequon WI 53097-2018 |
| Practice Telephone | 2622385821 |
| Mailing Telephone | 2626434421 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
1294-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
12944-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20182700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053547000 | Linda S Tucker | Nurse Practitioner | 3150 Warrick Dr, Boonville, IN 47601-8602 | 2009-06-04 |
| 1508268756 | Linda Tucker | Social Worker | 450 Sutter St, Rm. 1822, San Francisco, CA 94108-4206 | 2014-09-18 |
| 1962779983 | Linda Tucker | Occupational Therapy Assistant | 89 Midland Dr, Perry Browne School, Norwich, NY 13815-1948 | 2011-11-18 |
| 1770755969 | Linda Tucker | Nurse's Aide | 700 Colorado Blvd, 318, Denver, CO 80206-4084 | 2008-03-27 |
| 1801015201 | Linda Marie Tucker | Speech-Language Pathologist | 150 Bergen Street, B-239, Newark, NJ 07103-2496 | 2007-04-24 |
| 1922144948 | Linda J Tucker | Nurse Practitioner | 21540 W 11 Mile Rd, Suite 200, Southfield, MI 48076-3843 | 2007-01-29 |
| 1639156607 | Linda J Tucker | Physician Assistant | 8201 Northwoods Dr, Lincoln, NE 68505-3092 | 2005-12-29 |
| Street Address |
5000 MEQUON ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508904376 | Jennifer Kay Gunderson | Physical Therapist | 1486 West Mequon Rd, Mequon, WI 53092 | 2007-02-02 |
| 1902983133 | Sandra S Pearson | Physical Therapist | 10602 N Port Washington Rd Ste 101, Mequon, WI 53092-5079 | 2006-11-01 |
| 1407952526 | Laurie Dybul | Physical Therapist | 10602 N Port Washington Rd, Suite 101, Mequon, WI 53092-5079 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321124 | Victoria Ann Moerchen | Physical Therapist | 3409 N Downer Avenue, Uwm, Pavilion, Pt Suite, Rm 366, Milwaukee, WI 53211-2956 | 2014-06-17 |
| 1922368323 | Courtney Wilder | Physical Therapist | 1100 Commerce Drive Suite 114, Racine, WI 53406 | 2012-05-21 |
| 1467763508 | Douglas Litscher | Physical Therapist | 125 Monroe Ave, Rice Lake, WI 54868-3204 | 2010-06-23 |
| 1306163761 | Julie Collison | Physical Therapist | 1409 Swamp Rd, Green Bay, WI 54313-1475 | 2010-04-26 |
| 1447426929 | Developmental Steps By Fons | Physical Therapist | 4102 Foxwood Ct, Janesville, WI 53546-8887 | 2008-05-05 |
| 1821262700 | Patricia E Barina | Physical Therapist | 16185 Burleigh Pl, Brookfield, WI 53005-2851 | 2008-04-22 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1447421656 | Gail Ann May | Physical Therapist | 205 Lodi St, Lodi, WI 53555-1220 | 2008-03-14 |
| 1548450372 | Lori Dominiczak | Physical Therapist | 4002 W Cherrywood Ln, Brown Deer, WI 53209-1002 | 2007-07-27 |
| 1144410069 | Jill Marie Nelson | Physical Therapist | N10732 Newton Lake Rd, Athelstane, WI 54104-9629 | 2007-07-26 |
| Find all providers with the same taxonomy | ||||
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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.