IMAGINE A CHILD'S CAPACITY (NPI# 1770688970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770688970 |
| Entity Type | Organization |
| Organization Name | IMAGINE A CHILD'S CAPACITY |
| Practice Address |
2875 Fish Hatchery Rd Fitchburg WI 53713-3114 |
| Practice Telephone | 6082046242 |
| Practice Fax Number | 6082046249 |
| Mailing Telephone | 6082046242 |
| Mailing Fax Number | 6082046249 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | MR. DAVID JOHNSON (EXECUTIVE DIRECTOR.) |
| Authorized Official Telephone | 6083161127 |
| Authorized Official Credential | CEO. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | WI | Speech, Language and Hearing Service Providers | |
| N | 253Z00000X | In Home Supportive Care | WI | Agencies | |
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41225100 | 05 |
| Street Address |
2875 FISH HATCHERY RD |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53713-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347778 | Chelsea Plamann | Counselor | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2016-03-03 |
| 1114329059 | Kayla Rolerat | Speech-Language Pathologist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2014-09-23 |
| 1164858189 | Lauren A Burke | Speech-Language Pathologist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2013-09-23 |
| 1396182903 | Natalie M Blonien | Physical Therapist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2013-05-23 |
| 1073956405 | Lisa Nj Hoeme | Counselor | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2013-04-16 |
| 1689915779 | Jill Phillips Quinn | Occupational Therapist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2013-03-14 |
| 1396002127 | Gina M Nolan | Speech-Language Pathologist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2012-04-18 |
| 1780992412 | Meghan M True | Occupational Therapist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2010-09-15 |
| 1073843959 | Heidi L Eckstein | Physical Therapist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2009-12-28 |
| 1215267174 | Jennifer C Jones | Physical Therapist | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2009-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1508409293 | Boost Home Health LLC | Clinic/Center | 1198 121st Ave, New Richmond, WI 54017-7158 | 2019-10-24 |
| 1912481185 | Visiting Nurse Community Care, Inc. | Clinic/Center | 600 52nd St Ste 300, Kenosha, WI 53140-3423 | 2018-09-24 |
| 1790270932 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 533 E Calumet St, Chilton, WI 53014-1649 | 2018-06-29 |
| 1225548316 | Thrive Learning Center, LLP | Clinic/Center | N3219 County Road H Ste F, Lake Geneva, WI 53147-7074 | 2017-10-03 |
| 1720431877 | Milwaukee Center for Independence | Clinic/Center | 6100 N Baker Rd, Glendale, WI 53209-3704 | 2016-07-13 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1417367509 | Specialized Therapy Services LLC | Clinic/Center | 890 Elm Grove Rd Ste 1-1, Elm Grove, WI 53122-2528 | 2014-04-29 |
| 1710300173 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1800 Bluebell Ln, C/o Harmony of Stevens Point, Stevens Point, WI 54482-8983 | 2014-01-21 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| Find all providers with the same taxonomy | ||||
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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.