SUSAN DEBORAH KONKLE (NPI# 1619317468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619317468 |
| Entity Type | Individual |
| Full Name | SUSAN DEBORAH KONKLE |
| Credential | PTA |
| Practice Address |
1335 S Oneida St Appleton WI 54915-1351 |
| Practice Telephone | 9207316646 |
| Mailing Telephone | 9207316646 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
530-019 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1335 S ONEIDA ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679529077 | Manorcare Health Services LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2006-05-26 |
| 1275130403 | Appleton Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-10-01 |
| 1871120667 | Jenna L Byom | Nurse Practitioner | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-03-24 |
| 1710517529 | Edenbrook On Oneida Nursing and Rehab LLC | Skilled Nursing Facility | 1335 S Oneida St, Appleton, WI 54915-1351 | 2020-01-21 |
| 1710326913 | Michelle B Stache | Physical Therapy Assistant | 1335 S Oneida St, Appleton, WI 54915-1351 | 2013-06-20 |
| 1578847687 | Erin Mackey | Speech-Language Pathologist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2011-10-07 |
| 1497061964 | Maribeth Sale Araneta | Physical Therapist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2010-08-23 |
| 1194968453 | Kim Franda | Speech-Language Pathologist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2009-04-15 |
| 1568620490 | Lynn Marie Sosnosky | Occupational Therapist | 1335 S Oneida St, Appleton, WI 54915-1351 | 2008-05-28 |
| 1346407004 | Jennifer Lee Rau | Occupational Therapy Assistant | 1335 S Oneida St, Appleton, WI 54915-1351 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720249204 | Greg E. Matz | Physical Therapist | 325 E Florida Ave, Appleton, WI 54911-1325 | 2008-06-18 |
| 1720246036 | Richard Peterson | Physical Therapist | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396270559 | Tosha Wagner | Physical Therapist | 6315 Quarry Vista Dr Apt 225, Fitchburg, WI 53719-9102 | 2017-04-25 |
| 1194185330 | Lauren Pollpeter | Physical Therapist | N104w20831 Willow Creek Rd, Colgate, WI 53017-9501 | 2016-03-01 |
| 1205279817 | Megan Oeth | Physical Therapist | 5025 Spaanem Ave, Madison, WI 53716-2837 | 2013-04-12 |
| 1811230253 | Rajeshwari N Iyer | Physical Therapist | 2738 Park Place Ln Apt 39, Janesville, WI 53545-5267 | 2013-04-04 |
| 1902131931 | Richard Lewis | Physical Therapist | 6341 Johnston Dr, Two Rivers, WI 54241-9671 | 2009-10-08 |
| 1285868513 | Dennis Borja Miranda | Physical Therapist | 311 W Kalsched St, Apt. 209, Marshfield, WI 54449-1466 | 2009-05-14 |
| 1932342011 | Linda Kettner Tucker | Physical Therapist | 5000 Mequon Road, Mequon, WI 53092 | 2009-04-20 |
| 1093963019 | Jessica M. Hoinacki | Physical Therapist | W2342 Puchyan Rd, Berlin, WI 54923-9486 | 2008-09-03 |
| 1396912333 | Sherilyn Weinert | Physical Therapist | 18365 Harvest Ln, Brookfield, WI 53045-5446 | 2008-05-09 |
| 1417163551 | Katherine Ann Brewer | Physical Therapist | W289n6369 Blackhawk Dr, Hartland, WI 53029-9448 | 2007-05-15 |
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| 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.