Jackie Church
NPI 1104029362 · Physical Therapy Assistant · Edgerton, WI
Jackie Church is a Physical Therapy Assistant provider in Edgerton, WI (NPI 1104029362).
Provider details
- NPI number
- 1104029362
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 783-019 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jackie Church's NPI number?
- Jackie Church's National Provider Identifier (NPI) is 1104029362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Church's specialty?
- Jackie Church is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackie Church located?
- Jackie Church's practice location on file with NPPES is 313 Stoughton Rd, Edgerton, WI 53534-1132.
- What is Jackie Church's phone number?
- The practice phone number listed in the NPPES registry for Jackie Church is (608) 884-1390.
- Is Jackie Church's NPI active?
- Yes — Jackie Church's NPI (1104029362) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.