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NPI · 1104029362 · NPPES-sourced

Jackie Church

ActivePhysical Therapy Assistant
NPI Number
1104029362
Type 1 · Individual
Taxonomy Code
225200000X
Contact
(608) 884-1390
License WI · 783-019
Last Updated
Enumerated
Primary practice addressWI · 53534-1132
313 Stoughton RdEdgerton, WI 53534-1132
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About this NPIWhat this record shows.

NPI 1104029362 is registered to Jackie Church, a Physical Therapy Assistant practising at 313 Stoughton Rd in Edgerton, Wisconsin. Physical Therapy Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jackie Church has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 783-019WI· Issued by WISCONSIN LICENSE NUMBER

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jackie Church accepts. To confirm in-network status with your specific health plan, contact Jackie Church directly at (608) 884-1390.

Frequently asked

Yes. NPI 1104029362 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapy Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (608) 884-1390.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jackie Church is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225200000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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6 records · same addressOther providers at this location.

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Same specialtyOther Physical Therapy Assistant providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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