Individual provider Active NPI

Karen Targo

  • Physical Therapist
  • Williams Bay, WI
National Provider Identifier
1144534611
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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.

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 153 clinicians

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Jan 10, 2025 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)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.