MISS JERAN MARIE WILSON PTA
NPI 1922271949
Physical Therapy Assistant in Superior, WI

Active since April 10, 2008
6630 OGDEN AVE, SUPERIOR, WI 54880(218) 391-8788 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Miss Jeran Marie Wilson Pta NPPES

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

MISS JERAN MARIE WILSON PTA (NPI 1922271949) is an individual physical therapy assistant in Superior, Wisconsin, licensed in Wisconsin (1169-019) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1922271949
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameMISS JERAN MARIE WILSONCredential: PTA
Location Address6630 OGDEN AVESuperior, WI 54880-6056
Mailing Address6630 Ogden AveSuperior, WI 54880-6056 · (218) 391-8788
Sole ProprietorYes
Enumeration DateApril 10, 2008
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
NPI 1922271949 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 · 1169-019
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.
6630 OGDEN AVE, Superior, WI 54880

Other Names 1

Former Name (1)Jeran Rivala

Other Identifiers 1

MedicaidPENDINGWI

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 Jeran Wilson's NPI number?

The NPI number for Jeran Wilson is 1922271949. It was assigned to this individual provider in the NPPES registry on April 10, 2008. The provider is also known as Jeran Rivala.

Where is Jeran Wilson located?

Jeran Wilson practices at 6630 Ogden Ave, Superior, WI 54880. The listed phone number is (218) 391-8788.

What is Jeran Wilson'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 Jeran Wilson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.