Amy D Konvalin, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010285 Issued in WA

Practice address

23745 225TH Way SE
Suite 215
Maple Valley, WA 98038-5294

Phone

(360) 367-0970

Fax

(425) 651-2486

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amy D Casey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1033283767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23745 225TH WAY SE",
            "address_2": "SUITE 215",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385294",
            "telephone_number": "360-367-0970",
            "fax_number": "425-651-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23745 225TH WAY SE",
            "address_2": "SUITE 215",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385294",
            "telephone_number": "360-367-0970",
            "fax_number": "425-651-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONVALIN",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CASEY",
            "middle_name": "D",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Joleen Klibowitz, DPT
• Larry G. Knauss, PHD
• Melissa N Knott
• Ryan T Koenig, DMD
• Paige Nicole Koler, SLP
• Isha Debrea Kora
• Richard Wesley Koss, DO
• Emma Alice Kowalinski, MS, LMFT, MDFT
• Kriss Chiropractic PS
• Phillip J Kriss, D.C.

• Physical Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.