MISS JERAN MARIE RAIVALA (NPI# 1922271949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922271949 |
| Entity Type | Individual |
| Full Name | MISS JERAN MARIE RAIVALA |
| Credential | LPTA |
| Practice Address |
6630 Ogden Ave Superior WI 54880-6056 |
| Practice Telephone | 2183918788 |
| Mailing Telephone | 2183918788 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1169-019 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | PENDING | 05 |
| Street Address |
6630 OGDEN AVE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| 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 |
|---|---|---|---|---|
| 1841617222 | Barbara M Nett | Physical Therapy Assistant | 804 26th Ave E, Superior, WI 54880-3851 | 2014-03-24 |
| 1619078342 | Lisa Marie Johnson | Physical Therapy Assistant | 1420 Oakes Avenue, Superior, WI 54880 | 2006-09-26 |
| 1003329004 | Amanda Christiansen | Physical Therapy Assistant | 1612 N 37th St, Superior, WI 54880-5404 | 2017-11-13 |
| 1336523562 | Nicole Kelly | Physical Therapy Assistant | 35 N 28th St, Superior, WI 54880-5557 | 2015-07-17 |
| 1699049841 | Maxine E. Coder | Physical Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2012-03-06 |
| 1598036535 | Deanna Sue Kelly | Physical Therapy Assistant | 35 N 28th St, Superior, WI 54880-5557 | 2012-01-23 |
| 1184850026 | Susan Nowak | Physical Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2009-06-05 |
| 1326282641 | Sandra Tollers | Physical Therapy Assistant | 1800 New York Ave, Superior, WI 54880-2008 | 2009-04-30 |
| 1629224977 | June L Pumphrey | Physical Therapy Assistant | 520 E 10th St, Superior, NE 68978-1225 | 2008-08-18 |
| 1073614715 | Jennifer Kay Martin | Physical Therapy Assistant | 1420 Oakes Avenue, Superior, WI 54880 | 2006-09-26 |
| Find all providers in SUPERIOR | ||||
Please comment or provide details below to improve the information on MISS JERAN MARIE RAIVALA.
| 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.