Active NPI
Karen Targo
- Physical Therapist
- Williams Bay, WI
National Provider Identifier
1144534611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 146 Clover St
Greenfield Rehab
Williams Bay, WI 53191-9779 - Phone
- (262) 245-6400
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
-
- Physical Therapist
- Granger, IN
- NPI 1013253293
-
- Physical Therapist
- Hendersonville, TN
- NPI 1053698530
-
- Physical Therapist
- Oak Park, IL
- NPI 1063784148
-
- Physical Therapist
- Alpharetta, GA
- NPI 1386917532
-
- Physical Therapist
- Superior Township, MI
- NPI 1740840602
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paxxon Healthcare Services LLC
Practice addresses (Care Compare)
25558 77TH St
Salem, WI 53168-5602
Phone (262) 234-0015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250117003796 | WI | Practitioner - Physical Therapist in Private Practice | 3577092626 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
25558 77th St
Salem, WI 53168
Phone (262) 234-0015
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
146 Clover St
Greenfield Rehab
Williams Bay, WI 53191-9779
Mailing address
146 Clover St
Greenfield Rehab
Williams Bay, WI 53191-9779
Phone (262) 245-6400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2014.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1144534611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 CLOVER ST",
"address_2": "GREENFIELD REHAB",
"city": "WILLIAMS BAY",
"state": "WI",
"postal_code": "531919779",
"telephone_number": "262-245-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 CLOVER ST",
"address_2": "GREENFIELD REHAB",
"city": "WILLIAMS BAY",
"state": "WI",
"postal_code": "531919779",
"telephone_number": "262-245-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARGO",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williams Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.