KRISTA ANDERSON (NPI# 1265721781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265721781 |
| Entity Type | Individual |
| Full Name | KRISTA ANDERSON |
| Credential | PTA |
| Practice Address |
417 3rd Ave Clear Lake WI 54005 |
| Mailing Address |
Po Box 3497 Sturtevant WI 53177-0300 |
| Practice Telephone | 7152634103 |
| Practice Fax Number | 8662458064 |
| Mailing Telephone | 8882011040 |
| Mailing Fax Number | 8662458064 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1712-19 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1265721781 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760935183 | Krista Jo Anderson | Registered Nurse | 24 Fithian Dr, New Castle, DE 19720-3208 | 2016-08-02 |
| 1710975479 | Krista Marie Anderson | Optometrist | 19637 Mack Ave, Grosse Pointe Woods, MI 48236-2535 | 2005-10-07 |
| 1356958326 | Krista Anderson | Behavior Technician | 1522 E Superior St, Duluth, MN 55812-1634 | 2020-09-24 |
| 1275015562 | Krista Nicole Anderson | Registered Nurse | 2801 Franciscan Dr, Bryan, TX 77802-2544 | 2018-09-03 |
| 1457739195 | Krista Anderson | Social Worker | 5554 S Prince St, Littleton, CO 80120-1149 | 2015-05-14 |
| 1699176339 | Krista M Anderson | Counselor | 1710 N 144th St, Omaha, NE 68154-4715 | 2014-09-12 |
| 1992126460 | Krista Anderson | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2013-12-30 |
| 1780951129 | Krista Leigh Anderson | Behavioral Analyst | 6202 S Lewis Ave, Suite J, Tulsa, OK 74136-1099 | 2011-11-30 |
| 1720246093 | Krista A Anderson | Marriage & Family Therapist | 4735 Statesmen Dr, Ste A, Indianapolis, IN 46250-5646 | 2008-05-23 |
| 1427089135 | Krista D Anderson | Nurse Practitioner | 610 W Adams St, Black River Falls, WI 54615-9010 | 2006-07-05 |
| Street Address |
417 3RD AVE |
| City | CLEAR LAKE |
| State | WI |
| Zip Code | 54005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225042013 | Emily J Monson | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2006-07-28 |
| 1083845754 | Clear Lake Physical Therapy and Rehab Specialists LLC | Occupational Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2009-07-29 |
| 1063689487 | Erin Timm | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043866460 | Northern Roots Family Spinal Care, LLC | Chiropractor | 470 3rd Ave, Clear Lake, WI 54005 | 2019-08-12 |
| 1689855355 | Deborah Sue Cuper | Physical Therapist | 417 3rd Ave., Clear Lake, WI 54005 | 2007-11-21 |
| 1952595480 | Kivlin Eye Clinic, Sc | Optometrist | 370 3rd Ave, Clear Lake, WI 54005 | 2007-08-28 |
| 1083722920 | Bradley Alvin Paulson | Chiropractor | 336 3rd Ave, Clear Lake, WI 54005 | 2006-08-29 |
| 1770134892 | Jolleen Mary Nichols | Nurse Practitioner | 357 Third Ave, Clear Lake, WI 54005 | 2019-09-20 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1245563196 | Lisa Karen Dodge | Point of Service | 571 75th St, Clear Lake, WI 54005-3819 | 2009-09-10 |
| 1831394741 | Stephanie L Fall | Specialist/Technologist | 751 4th St, Clear Lake, WI 54005-8505 | 2007-06-19 |
| 1952580730 | School District of Clear Lake | Local Education Agency (LEA) | 1101 3rd St Sw, Clear Lake, WI 54005-8511 | 2007-10-30 |
| 1215364211 | Paulson Chiropractic Clinic, LLC | Chiropractor | 336 3rd Ave, Clear Lake, WI 54005-8581 | 2013-10-04 |
| Find all providers in zip 54005 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (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. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1093290983 | Michaela Marie Mahaffey | Physical Therapy Assistant | 514 17th St W, Clear Lake, IA 50428-1205 | 2018-09-26 |
| 1578932075 | Jenna Olson | Physical Therapy Assistant | 509 Buddy Holly Pl, Clear Lake, IA 50428-1359 | 2015-09-15 |
| 1730558230 | Patricia Deboer-orozco | Physical Therapy Assistant | 509 Buddy Holly Pl, Clear Lake, IA 50428-1359 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205381 | David F. Erickson | Physical Therapy Assistant | 5609 Sandpiper Ln, Madison, WI 53716-4406 | 2020-11-03 |
| 1235746967 | Brianna Reed Mackey | Physical Therapy Assistant | 2746 22nd Ave, Rice Lake, WI 54868-9047 | 2020-09-27 |
| 1659984425 | Kathryn Jennifer Schmidt | Physical Therapy Assistant | Abbotsford Healthcare Center, 600 E Elm St, Abbotsford, WI 54405 | 2020-08-31 |
| 1952913899 | Brandii Cabrera | Physical Therapy Assistant | 419 Labelle St, Boscobel, WI 53805-1424 | 2020-08-21 |
| 1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
| 1396365128 | Paige Harpenau | Physical Therapy Assistant | 4821 Tanglewood Ave, Racine, WI 53402-2544 | 2020-04-22 |
| 1992334916 | Torin Fendos | Physical Therapy Assistant | 2700 W Honadel Blvd, Oak Creek, WI 53154-2650 | 2020-04-02 |
| 1033746250 | Michael Vokes | Physical Therapy Assistant | 4131 W Loomis Rd Ste 200, Greenfield, WI 53221-2041 | 2020-03-26 |
| 1083241814 | Logan Narges | Physical Therapy Assistant | 428 N 6th Street, Tomahawk, WI 54487-5448 | 2020-03-23 |
| 1982239893 | Shelby Castle Roggensack | Physical Therapy Assistant | 29 Craig Ave, Madison, WI 53705-1335 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 54005 |
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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.