JENNA M BRUCKNER (NPI# 1144639683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144639683 |
| Entity Type | Individual |
| Full Name | JENNA M BRUCKNER |
| Credential | DPT |
| Practice Address |
3503 E. Layton Ave Ste 100 Cudahy WI 53110-1408 |
| Mailing Address |
600 52nd St Ste 240 Kenosha WI 53140-3423 |
| Practice Telephone | 4144890270 |
| Practice Fax Number | 4144890356 |
| Mailing Telephone | (262) 925-5004 |
| Mailing Fax Number | 2629255001 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12795-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CAQH | 12734215 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7200 Washington Ave, Suite 103, Racine, WI 53406 | 2625830790 | 2625830768 |
| Street Address |
3503 E. LAYTON AVE STE 100 |
| City | CUDAHY |
| State | WI |
| Zip Code | 53110-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083168033 | Gina Black | Physical Therapist | 3503 E. Layton Ave, Suite 100, Cudahy, WI 53110-1408 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1497191357 | Kristel Roebbeke | Occupational Therapist | 4157 W College Ave, Milwaukee, WI 53110 | 2013-05-20 |
| 1568684058 | City of Cudahy | Case Management | 5050 South Lake Drive, Cudahy, WI 53110 | 2007-05-03 |
| 1104854363 | Mathew George Mathai | Internal Medicine | 5900 S. Lake Dr., Cudahy, WI 53110 | 2006-06-28 |
| 1174917199 | Alyssa Kaleta | Internal Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2015-03-27 |
| 1740546829 | Fatima Ali | Family Medicine | 5900 S Lake Dr, Cudahy, WI 53110 | 2012-04-03 |
| 1609003508 | Elizabeth A Vissat | Podiatrist | 5900 S Lake Dr, 2 West, Cudahy, WI 53110 | 2009-06-18 |
| 1366616864 | Miguel A Aguilera | Anesthesiology | 5900 S Lake Dr, Cudahy, WI 53110 | 2008-04-15 |
| 1235355983 | Aurora Health Care Metro, Inc. | Clinic/Center | 5900 S Lake Drive, Cudahy, WI 53110 | 2007-04-18 |
| 1114005618 | Manila Sodhi | Internal Medicine | 5900 S Lake Dr, 2 West, Cudahy, WI 53110 | 2006-11-01 |
| Find all providers in zip 53110 | ||||
| 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 |
|---|---|---|---|---|
| 1558716217 | Sara Ann Thomas | Physical Therapist | 6000 S Buckhorn Ave, Unit 103, Cudahy, WI 53110-3058 | 2016-05-02 |
| 1114546470 | Ally Marthaler-gerads | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-15 |
| 1689293219 | Hilary Korb | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
| 1699394213 | Cynthia Faulkner Cook | Physical Therapist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2020-04-14 |
| 1083168033 | Gina Black | Physical Therapist | 3503 E. Layton Ave, Suite 100, Cudahy, WI 53110-1408 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102937 | Kathleen Jerry | Physical Therapist | 4414 Dwight Dr Apt 5, Madison, WI 53704-3561 | 2020-10-21 |
| 1750988481 | Jacqueline Cleereman | Physical Therapist | 2106 Schofield Ave Ste 5, Weston, WI 54476-2412 | 2020-10-06 |
| 1972110229 | Michelle Steffes | Physical Therapist | 2350 N 59th St, Milwaukee, WI 53210-2214 | 2020-09-29 |
| 1972110492 | Amelia Rae Wolf | Physical Therapist | W229n1416 Westwood Dr Ste 4, Waukesha, WI 53186-1309 | 2020-09-29 |
| 1639786213 | Melissa Arfstrom | Physical Therapist | 27477 Highway 64 Ste C, Cornell, WI 54732-5223 | 2020-09-28 |
| 1932713146 | Athletico, Ltd | Physical Therapist | N63w23675 Main St, Sussex, WI 53089 | 2020-09-04 |
| 1356953913 | Brittany Smart | Physical Therapist | 7137 236th Ave Ste 101, Salem, WI 53168-8975 | 2020-08-17 |
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1811506447 | David Nehls | Physical Therapist | 626 Lake Shore Dr, Beaver Dam, WI 53916-1432 | 2020-07-29 |
| 1548879786 | Thomas Norman Beine | Physical Therapist | 2210 Dufek Dr, Manitowoc, WI 54220-9356 | 2020-07-23 |
| 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.