KONZAK THERAPY LLC (NPI# 1366696049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366696049 |
| Entity Type | Organization |
| Organization Name | KONZAK THERAPY LLC |
| Practice Address |
333 W Walters St Port Washington WI 53074-1455 |
| Mailing Address |
511 S 6th St Cedar Grove WI 53013-1679 |
| Practice Telephone | 4142681800 |
| Mailing Telephone | 9206686777 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Authorized Official Name | SARAH KONZAK (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 9206686777 |
| Authorized Official Credential | OTR/CHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
3445-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
333 W WALTERS ST |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053729095 | Ruth Chiapetta Kulbacki | Occupational Therapist | 2944 Salem Cir, Mount Pleasant, WI 53406-1828 | 2014-07-22 |
| 1134473556 | Tiffany Amber Cash | Occupational Therapist | 600 Hyland Ave., Madison, WI 53792 | 2012-11-07 |
| 1346442522 | Rhonda Elliott | Occupational Therapist | W227n16857 Tillie Lake Ct, Jackson, WI 53037-9000 | 2007-06-01 |
| 1215070909 | Sarah L Konzak | Occupational Therapist | 511 S 6th St, Cedar Grove, WI 53013-1679 | 2007-02-14 |
| 1386782134 | Michelle Beth Obbink | Occupational Therapist | 151 Lake Ct, Cedar Grove, WI 53013-1670 | 2007-02-02 |
| 1174584478 | Milwaukee Hand Center, S.c. | Occupational Therapist | 1535 W Market St, Mequon, WI 53092-5053 | 2006-03-28 |
| 1376511162 | Jamie Lois Ann Kolka I | Occupational Therapist | 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 | 2006-03-09 |
| 1700405081 | Anthony Joseph Condie | Occupational Therapist | 2323 N Casaloma Dr, Appleton, WI 54913-8284 | 2020-04-16 |
| 1700447208 | Hannah Joyce Hershberger | Occupational Therapist | 525 W River Woods Pkwy Ste 230, Glendale, WI 53212-1010 | 2019-06-25 |
| 1275191058 | Johanna Pipia | Occupational Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on KONZAK THERAPY LLC.
| 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.