MRS. KRYSTAL K JECEVICUS P.T.A.
NPI 1750630471
Physical Therapy Assistant in Kenosha, WI

NPI Status: Active since September 10, 2012

Contact Information

3415 SHERIDAN RD
KENOSHA, WI
ZIP 53140
Phone: (262) 653-2940
Fax: (262) 657-6681

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  • Individual
  • Female
  • Physical Therapy Assistant

About KRYSTAL JECEVICUS

This page provides the complete NPI Profile along with additional information for Krystal Jecevicus, a provider established in Kenosha, Wisconsin with a medical specialization in Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1750630471 assigned on September 2012. The practitioner's primary taxonomy code is 225200000X with license number 1549-19 (WI). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1750630471
Provider Name
MRS. KRYSTAL K JECEVICUS P.T.A.
Other Name
MISS KRYSTAL K COUNTERMAN P.T.A.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
3415 SHERIDAN RD KENOSHA, WI 53140
Location Phone
(262) 653-2940
Location Fax
(262) 657-6681
Mailing Address
3415 SHERIDAN RD KENOSHA, WI 53140
Mailing Phone
(262) 653-2940
Mailing Fax
(262) 657-6681
Is Sole Proprietor?
No
Enumeration Date
09-10-2012
Last Update Date
09-10-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
1549-19
License State
WI
Taxonomy Description
(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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750630471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001230414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 3 + 0 + 4 + 1 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1750630471 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992998132MRS. ROBYN LOUISE VANDE BERG COTA/L
Individual
Occupational Therapy Assistant3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1932375466 RENE RILLORTA PT
Individual
Specialist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6681
1689840993MRS. KIRSTEN LEIGH DE STEFFEN MA/CCC-SLP
Individual
Speech-Language Pathologist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 653-2954
1265661037 MICHELE M REGET OTR
Individual
Occupational Therapist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 653-2954
1205165024 TRISTA ANNE MAULSON M.S.
Individual
Speech-Language Pathologist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1265761076WOODSTOCK HEALTH AND REHAB
Organization
Skilled Nursing Facility3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1447573696 BONNIE M LANCOUR COTA
Individual
Occupational Therapy Assistant3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 653-2954
1609140979MRS. TABITHA JANE MOORE PTA
Individual
Physical Therapy Assistant3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1689931321KINDRED NURSING AND REHAB KENOSHA NORTH
Organization
Skilled Nursing Facility3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 653-2941
1477810950MR. JEROME ROBERT GRATZ
Individual
Occupational Therapy Assistant3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1952663551 SUSAN MARIE CONLON PTA
Individual
Physical Therapy Assistant3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 653-2951
1700201019 BRAY GRUNDY DPT
Individual
Physical Therapist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1174949663WOODSTOCK HEALTH CARE LLC
Organization
Skilled Nursing Facility3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1316393895 NICOLE EIDE
Individual
Occupational Therapist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1396265500 WENDY GAUSS
Individual
Physical Therapy Assistant3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1386114288 NICOLE MARIE THOMPSON OTR/L
Individual
Occupational Therapist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1376210799 JASPREET SINGH
Individual
Speech-Language Pathologist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1033842075 MARY WAGNER COTA
Individual
Occupational Therapy Assistant3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1912544115 JAMIE DEAL
Individual
Occupational Therapist3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175
1700312436THE BAY AT WATERS EDGE HEALTH AND REHABILITATION LLC
Organization
Skilled Nursing Facility3415 SHERIDAN RD
KENOSHA, WI 53140
(262) 657-6175

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750630471, enumerated in the NPI registry as an "individual" on September 10, 2012

The provider is located at 3415 Sheridan Rd Kenosha, Wi 53140 and the phone number is (262) 653-2940

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on September 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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