AMANDA DEROSE (NPI# 1568800241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568800241 |
| Entity Type | Individual |
| Full Name | AMANDA DEROSE |
| Credential | MCEP, DPT |
| Practice Address |
3506 Washington Rd Kenosha WI 53144-1654 |
| Mailing Address |
5802 40th Ave Kenosha WI 53144-2746 |
| Practice Telephone | 2626533800 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12399-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3506 WASHINGTON RD |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558329185 | Brookside Care Center | Skilled Nursing Facility | 3506 Washington Rd, Kenosha, WI 53144 | 2006-05-03 |
| 1366080293 | Lindsay Anderson | Occupational Therapist | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2019-12-10 |
| 1760041909 | Joshua Gomez | Physical Therapy Assistant | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2019-06-11 |
| 1508335472 | Kelly Mauser | Physical Therapy Assistant | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2018-11-20 |
| 1821570995 | Taneeka Lopez | Physical Therapy Assistant | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2018-09-05 |
| 1558841312 | Tina Marie Tihen | Physical Therapy Assistant | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2018-08-20 |
| 1013407444 | Deanna M Huff | Physical Therapy Assistant | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2018-05-10 |
| 1053823146 | Theresa Joy Schwer | Physical Therapy Assistant | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2017-10-29 |
| 1164831285 | Francis Battad | Occupational Therapist | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2014-08-04 |
| 1922372093 | Jodi Ball | Occupational Therapy Assistant | 3506 Washington Rd, Kenosha, WI 53144-1654 | 2012-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| 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 |
|---|---|---|---|---|
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1730735374 | Alex J Schuler | Physical Therapist | 3535 30th Ave Ste 101, Kenosha, WI 53144-1632 | 2019-08-09 |
| 1164912689 | Livingwell N-home Therapy LLC | Physical Therapist | 3921 30th Ave Ste B1, Kenosha, WI 53144-1957 | 2018-05-10 |
| 1144729823 | Carina Cacanindin | Physical Therapist | 12772 71st St Apt 302, Kenosha, WI 53142-8431 | 2018-02-07 |
| 1962926329 | Joseph Perry | Physical Therapist | 3620 57th Ave Ste 400, Kenosha, WI 53144-4924 | 2017-07-27 |
| 1013437037 | Morgan P Johnson | Physical Therapist | 3601 30th Ave Ste 103, Kenosha, WI 53144-1642 | 2017-06-21 |
| 1467901512 | Rochelle Smith | Physical Therapist | 2500 1st Pl, Kenosha, WI 53140-1051 | 2016-09-30 |
| 1104271774 | Armi Hoffman | Physical Therapist | 1910 83rd St, Kenosha, WI 53143-1615 | 2016-05-02 |
| 1063887529 | Natalie A Fox | Physical Therapist | 5708 75th St Unit B, Kenosha, WI 53142-3635 | 2015-12-09 |
| 1740655497 | Neu & Hill Physical Therapy, Sc | Physical Therapist | 2800 80th St, Kenosha, WI 53143-5643 | 2015-12-07 |
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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.