JACKIE CHURCH II
NPI 1104029362
Physical Therapy Assistant in Edgerton, WI

Active since June 06, 2007
313 STOUGHTON RD, EDGERTON, WI 53534(608) 884-1390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Church Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE CHURCH II (NPI 1104029362) is an individual physical therapy assistant in Edgerton, Wisconsin, licensed in Wisconsin (783-019) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1104029362
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameJACKIE CHURCH II
Location Address313 STOUGHTON RDEdgerton, WI 53534-1132
Mailing Address313 Stoughton RdEdgerton, WI 53534-1132 · (608) 884-1390
Sole ProprietorNo
Enumeration DateJune 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104029362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in WI · 783-019
Definition
(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.
313 STOUGHTON RD, Edgerton, WI 53534

Other Identifiers 1

Other783-019WI · Wisconsin License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
313 STOUGHTON RD
EDGERTON, WI 53534
Skilled Nursing Facility
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapist
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapy Assistant
313 STOUGHTON RD
EDGERTON, WI 53534
Occupational Therapy Assistant
313 STOUGHTON RD
EDGERTON, WI 53534
Skilled Nursing Facility
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapist
313 STOUGHTON RD
EDGERTON, WI 53534
Physical Therapist
313 STOUGHTON RD
EDGERTON, WI 53534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Church's NPI number?

The NPI number for Jackie Church is 1104029362. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Jackie Church located?

Jackie Church practices at 313 Stoughton Rd, Edgerton, WI 53534. The listed phone number is (608) 884-1390.

What is Jackie Church's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Jackie Church was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.