Individual provider Active NPI

Barbara Ann Koenigsknecht, PT

  • Physical Therapist
  • Saint Johns, MI
National Provider Identifier
1205849940
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010104 Issued in MI
Practice address
1507 Waterford Pkwy
Saint Johns, MI 48879-9630
Phone
(989) 227-5404
Fax
(989) 227-5415
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010104 MI Primary

Addresses

Primary practice location

1507 Waterford Pkwy
Saint Johns, MI 48879-9630

Mailing address

PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788

Other names 1

  • Barbara Ann Veale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000057 MI Practitioner - Physical Therapist in Private Practice 7214987684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K 13 Physical Therapy and Sports Medicine PCGroup PAC ID 6406806876, 2 clinicians

Practice addresses (Care Compare)

1507 Waterford Pkwy
Saint Johns, MI 48879-9630
Phone (989) 227-5404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501010104MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K 13 Physical Therapy & Sports Medicine PC Physical Therapist CurrentSince Feb 1, 2005 Accepting new patients

Locations

1507 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-5404

1507 Waterford Pkwy
Ste A
Saint Johns, MI 48879
Phone (989) 227-5404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205849940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-227-5404",
            "fax_number": "989-227-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGSKNECHT",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "VEALE",
            "middle_name": "ANN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.