KATE WIGMAN (NPI# 1336508696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336508696 |
| Entity Type | Individual |
| Full Name | KATE WIGMAN |
| Practice Address |
1640 Redstone Center Dr Suite 200 Park City UT 84098-7605 |
| Practice Telephone | 8664746677 |
| Mailing Telephone | 8664746677 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 4334 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 2109701 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | 5502003611 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 09201 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1640 REDSTONE CENTER DR SUITE 200 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-7605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255470779 | Sheetal Yogesh Jhaveri | Physical Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2007-02-05 |
| 1518593110 | Bertram Pride | Licensed Practical Nurse | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2020-03-16 |
| 1356988141 | Janet Mary Barmeier | Speech-Language Pathologist | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2019-11-29 |
| 1346806551 | Shabrittany Williams | Physical Therapy Assistant | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2019-05-13 |
| 1811368087 | Laura Ely | Occupational Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2015-10-14 |
| 1346616596 | Darrell Larry | Occupational Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2015-08-11 |
| 1699174615 | Jasima Reynolds | Home Health | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2014-08-14 |
| 1609275809 | Ryan Robert Holzum | Physical Therapist | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2014-08-14 |
| 1518215821 | Mona Kazemi | Occupational Therapist | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2012-08-16 |
| 1114289386 | Dana P. Nelson | Occupational Therapy Assistant | 1640 Redstone Center Dr, Suite #200, Park City, UT 84098-7605 | 2012-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
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| 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 |
|---|---|---|---|---|
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1003050469 | James Robert Perrone | Physical Therapy Assistant | 1640 Redstone Ctr Dr, Suite 200, Park City, UT 84098-7605 | 2009-04-28 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| 1023215209 | Melvin Norton | Physical Therapy Assistant | 1640 W Redstone Center Drive, Suite 200, Park City, UT 84098 | 2007-06-29 |
| 1659588176 | Jessica Sullenberger | Physical Therapy Assistant | 1640 West Redstone Center Dr, Suite 200, Park City, UT 84098 | 2007-05-16 |
| 1467570911 | Celeste Annette Willmann-chafin | Physical Therapy Assistant | 1640 West Redstone Center, Suite 200 Supplemental Health Care, Park City, UT 84098 | 2007-03-26 |
| 1346806551 | Shabrittany Williams | Physical Therapy Assistant | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2019-05-13 |
| 1326377169 | Ricardo Ulysses Molina | Physical Therapy Assistant | 1640 Redstone Center Dr Ste 200, Park City, UT 84098-7607 | 2009-12-07 |
| 1386809069 | Emily Ann Floyd | Physical Therapy Assistant | 1640 Redstone Center Dr, Suite 200, Park City, UT 84098-7605 | 2008-07-23 |
| 1275705105 | Roel Ruiz | Physical Therapy Assistant | 1640 Redstone Center Dr, Park City, UT 84098-7605 | 2008-04-01 |
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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.