JACQUELINE NICHOLSON (NPI# 1114430725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114430725 |
| Entity Type | Individual |
| Full Name | JACQUELINE NICHOLSON |
| Credential | PT, DPT |
| Practice Address |
1130 Collins Rd Jefferson WI 53549-2939 |
| Mailing Address |
412 E Forest St Oconomowoc WI 53066-3708 |
| Practice Telephone | 2624706950 |
| Practice Fax Number | 2624706950 |
| Mailing Telephone | 2624706950 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104285089 | Jacqueline Elizabeth Nicholson | Licensed Practical Nurse | 124-b Harris Park, Rochester, NY 14610-1177 | 2016-02-19 |
| Street Address |
1130 COLLINS RD |
| City | JEFFERSON |
| State | WI |
| Zip Code | 53549-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952314783 | Kelly Horton | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2006-08-14 |
| 1023677184 | Alden Estates of Countryside, Inc. | Clinic/Center | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2019-06-11 |
| 1700259561 | Kari Thoma | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2015-11-02 |
| 1518395706 | Rachel Johnston Puda | Physical Therapist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2013-10-24 |
| 1871839209 | Kimberly Nicole Wittmann | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2012-12-12 |
| 1285958298 | Alden Estates of Countryside, Inc. | Skilled Nursing Facility | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2010-03-19 |
| 1346485646 | Gayle Renz | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2008-12-16 |
| 1033322847 | Jane Evenson | Occupational Therapy Assistant | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-05-08 |
| 1073649877 | Urogyn Services, LLC | Nurse Practitioner | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-02-26 |
| 1295885945 | Hildegard Kopp | Speech-Language Pathologist | 1130 Collins Rd, Jefferson, WI 53549-2939 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
| 1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
| 1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
| 1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| Find all providers in zip 53549 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1952702094 | Tracy-lynn Schuster | Physical Therapist | 544 Chestnut Ridge Dr, Jefferson, NC 28640-9048 | 2014-09-09 |
| 1760796676 | Melanie Anne Wilkes | Physical Therapist | 2620 Gum Springs Church Rd, Jefferson, GA 30549-4441 | 2010-08-03 |
| 1356673354 | Joyce (jay) Ann Berger | Physical Therapist | 4541 Timbery Dr, Jefferson, MD 21755-7701 | 2010-02-02 |
| 1669706388 | Nicholas Timothy Sawyer | Physical Therapist | 222 Wisconsin Dr Ste 3, Jefferson, WI 53549-1541 | 2009-09-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1427238518 | Kelly Sue Cicon | Physical Therapist | 404 Brittany Ln, Jefferson, OH 44047-1352 | 2007-11-06 |
| 1790970978 | Jill Smith | Physical Therapist | 146 Longview Dr, Jefferson, GA 30549-1232 | 2007-09-11 |
| 1245439975 | Shannon Elizabeth Spady | Physical Therapist | 4014j Mountville Rd, Jefferson, MD 21755-7713 | 2007-07-12 |
| Find all providers in JEFFERSON | ||||
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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.