MRS. KELLY LYNN BERNA (NPI# 1750377511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750377511 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LYNN BERNA |
| Other Name | MS. KELLY LYNN KUCKSDORF |
| Credential | PTA |
| Practice Address |
116 N Main St Shawano WI 54166-2356 |
| Practice Telephone | 7155267370 |
| Practice Fax Number | 7155267294 |
| Mailing Telephone | 7155267370 |
| Mailing Fax Number | 7155267294 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 24019 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40390300 | 05 |
| Street Address |
116 N MAIN ST |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903616 | Carey Bubolz Grieves | Occupational Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2005-09-20 |
| 1225418841 | Kaitlynn A Steffeck | Speech-Language Pathologist | 116 N Main St, Shawano Medical Center-rehab Services, Shawano, WI 54166-2356 | 2015-06-09 |
| 1215298450 | Fue Xeng Moua | Occupational Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2012-06-05 |
| 1295095172 | Heather Beverly Sheski | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2012-05-24 |
| 1194012443 | Brittany L Perkins | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2011-07-07 |
| 1619108222 | Katie Van Scyoc | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2009-07-30 |
| 1518105352 | Amanda Lyn Sundin | Physical Therapy Assistant | 116 N Main St, Shawano, WI 54166-2356 | 2009-02-02 |
| 1497906226 | Terry Wiley | Occupational Therapy Assistant | 116 N Main St, Shawano, WI 54166-2356 | 2008-10-10 |
| 1023268133 | Cynthia Ellen Kirschling | Occupational Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2008-09-25 |
| 1427233071 | Jill Anderson | Physical Therapist | 116 N Main St, Shawano, WI 54166-2356 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| 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 |
|---|---|---|---|---|
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790949022 | Tina Marie Ready | Physical Therapy Assistant | N 4231 Hwy 22 South, Shawano, WI 54166-4166 | 2008-07-16 |
| 1578042297 | Heather Lynn Bannister | Physical Therapy Assistant | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2018-08-13 |
| 1922531243 | Amber R Knoll | Physical Therapy Assistant | 100 County Road B, Shawano, WI 54166-7072 | 2017-04-04 |
| 1922546712 | Nicholas Thiel | Physical Therapy Assistant | N4231 State Highway 22, Shawano, WI 54166-6130 | 2017-02-01 |
| 1407212897 | Lindsey Vidmar | Physical Therapy Assistant | 1436 S Lincoln St, Shawano, WI 54166-3427 | 2016-01-14 |
| 1689098329 | Dawn Sagert | Physical Therapy Assistant | 1250 S Evergreen St, Shawano, WI 54166-3514 | 2014-02-18 |
| 1285055541 | Julie Moesch | Physical Therapy Assistant | 1475 Birch Hill Ln, Shawano, WI 54166-3707 | 2014-01-03 |
| 1518105352 | Amanda Lyn Sundin | Physical Therapy Assistant | 116 N Main St, Shawano, WI 54166-2356 | 2009-02-02 |
| 1174783245 | Corrina Jolinda Tuma | Physical Therapy Assistant | 1436 S Lincoln St, Shawano, WI 54166 | 2008-06-12 |
| Find all providers in SHAWANO | ||||
Please comment or provide details below to improve the information on MRS. KELLY LYNN BERNA.
| 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.