Jackie Church
Physical Therapy Assistant · Edgerton, WI
Jackie Church is a physical therapy assistant with a practice address in Edgerton, Wisconsin, and NPI 1104029362, issued on Jun 6, 2007. Check the license (Wisconsin 783-019, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jackie Church
- Primary taxonomy
- Physical Therapy Assistant 225200000X
- License number
- 783-019 WI
Self-reported in NPPES; status is on the state search - Practice location
- 313 Stoughton RD, Edgerton, WI 53534
- Phone
- (608) 884-1390
- Enumerated
- Jun 6, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 313 Stoughton RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bobbi BognerPhysical Therapy Assistant1578766721
- Crystal Borde, COTAOccupational Therapy Assistant1245722305
- Evan BuhrowPhysical Therapy Assistant1568182541
- Shelly ButtPhysical Therapy Assistant1235347907
- Sherry CatacutanPhysical Therapy Assistant1588777585
- Cassy Cooley, DPTPhysical Therapist1376860064
Verify Jackie Church in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 783-019Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
7 physical therapy assistant records list a practice address in Edgerton
They are 7 of the 119 NPPES records with a practice address in Edgerton, and 2,202 physical therapy assistant records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 7 in Edgerton → All 2,202 in Wisconsin → Every provider in Edgerton →
Other physical therapy assistant records in Wisconsin
- Lara Abramson, LPTABayside, WI1861942559
- Madeline AceMadison, WI1225714470
- Wendi Achterberg, PTAWest Bend, WI1306020003
- Katie Ackerman, PTAMiddleton, WI1861922106
- Eva Acosta, P.T.AMilwaukee, WI1639447048
- Ginger Adams, PTASheboygan, WI1760683510
- Jennifer AdamsMadison, WI1619310679
- Kathy Adkins, PTAWatertown, WI1275790404
- Jacob Agbuis, PTAMt Pleasant, WI1043941453
- Gregorio AguilarWaukesha, WI1912636408
Common questions
What is Jackie Church's NPI number?
Jackie Church's National Provider Identifier (NPI) is 1104029362, issued on Jun 6, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jackie Church located?
The NPPES record lists a practice address at 313 Stoughton RD, Edgerton, WI, 53534. Phone: (608) 884-1390. Providers update this record themselves, so call before visiting.
How can I verify Jackie Church's license?
NPPES lists Wisconsin license number 783-019, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.