Active NPI
Janis Konkle
- Physical Therapist
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24504
- Practice address
- 905 Attucks LN
Hyannis, MA 02601-8146 - Phone
- (508) 771-9600
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24504 | MA | Primary |
Addresses
Primary practice location
905 Attucks LN
Hyannis, MA 02601-8146
Mailing address
949 Liberty Square Rd
Boxborough, MA 01719-1139
Phone (978) 290-8949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 57.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.77 of 100
- Quality
- 31.85
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 82.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10014 | SC | MD | Dentist |
| 24504 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | Accepting new patients | |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | Accepting new patients | |
| Montage Surgical Group | Past | Accepting new patients |
Locations
12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060
21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040
1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045
1076 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 521-1970
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Monterey, CA
- NPI 1881620599
-
- Orthopaedic Surgery Physician
- Beaufort, SC
- NPI 1982765160
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1497412019
-
- Orthopaedic Surgery of the Spine Physician
- Salinas, CA
- NPI 1942885835
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Monterey, CA
- NPI 1629864236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1205485273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 LIBERTY SQUARE RD",
"city": "BOXBOROUGH",
"state": "MA",
"postal_code": "017191139",
"telephone_number": "978-290-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 ATTUCKS LN",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026018146",
"telephone_number": "508-771-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONKLE",
"first_name": "JANIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.