ANGELA JEAN MODERSON (NPI# 1447407341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447407341 |
| Entity Type | Individual |
| Full Name | ANGELA JEAN MODERSON |
| Credential | PTA |
| Practice Address |
717 E Alfred St Weyauwega WI 54983-9024 |
| Practice Telephone | 9208673121 |
| Practice Fax Number | 9208673997 |
| Mailing Telephone | 9208673121 |
| Mailing Fax Number | 9208673997 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 856-019 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
717 E ALFRED ST |
| City | WEYAUWEGA |
| State | WI |
| Zip Code | 54983-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760554281 | Extendicare Homes, Inc. | Skilled Nursing Facility | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2006-11-14 |
| 1316591555 | Julia Morgan Borrego | Physical Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2019-07-25 |
| 1679126098 | Haley Marie Diedrick | Speech-Language Pathologist | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2019-07-24 |
| 1851784334 | Crossroads Care Center of Weyauwega, LLC | Skilled Nursing Facility | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2015-03-09 |
| 1962654301 | Kevin Richard Johnson | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-10-16 |
| 1922255629 | Tammi Ann Schellin | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-08-25 |
| 1457539132 | Hope Marie Oshefsky | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2008-02-05 |
| 1316151269 | Deann Marie Paprocki | Occupational Therapist | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2007-05-10 |
| 1770797326 | Jana Marie Kizewski | Physical Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2007-05-10 |
| 1154533909 | Kirsten Corinne Wilson | Occupational Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2007-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962636795 | Janine Rene Wurzer | Registered Nurse | 309 E Ann St, Weyauwega, WI 54983 | 2009-05-07 |
| 1245445766 | Cynthia May Wendt | Physical Therapist | 717 E. Alfred St. Weyauwaga, 717 E. Alfred, Weyauwega, WI 54983 | 2007-05-10 |
| 1922151687 | Fred W Raschke | Chiropractor | N1992 County Road F, Weyauwega, WI 54983-0736 | 2007-01-18 |
| 1750382537 | Raschke Chiropractic Center Sc | Chiropractor | N 1992 County Road F, Weyauwega, WI 54983-0736 | 2005-08-03 |
| 1316425317 | Sarah Elizabeth Zimmermann | Registered Nurse | 410 E Ann St, Weyauwega, WI 54983-8403 | 2018-08-01 |
| 1255510855 | Weyauwega-fremont School District | Local Education Agency (LEA) | 410 E Ann St, Weyauwega, WI 54983-8532 | 2007-10-31 |
| 1992737704 | Todd William Wild | Optometrist | 415 E Ann St, Weyauwega, WI 54983-8532 | 2006-07-06 |
| 1275536161 | William J. Twohig | Dentist | 417 E Ann St, Weyauwega, WI 54983-8532 | 2005-05-24 |
| 1376103572 | Dr. William J. Twohig Dds | Durable Medical Equipment & Medical Supplies | 417 E Ann St, Weyauwega, WI 54983-8532 | 2019-06-19 |
| 1326033580 | County of Waupaca | Skilled Nursing Facility | 912 Manor Dr, Weyauwega, WI 54983-8677 | 2005-09-14 |
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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 |
|---|---|---|---|---|
| 1316591555 | Julia Morgan Borrego | Physical Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2019-07-25 |
| 1770797326 | Jana Marie Kizewski | Physical Therapy Assistant | 717 E Alfred St, Weyauwega, WI 54983-9024 | 2007-05-10 |
| 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 |
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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.