Christine A Koth, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6430-024 Issued in WI

Practice address

4539 Woodgate Dr
Janesville, WI 53546-8205

Phone

(608) 359-1737

NPI assigned

Dec 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christine A Misora Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellness Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Janesville, WI
  • NPI 1962649871
  NPD Authorized official

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1215172358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 WINDMILL LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535464206",
            "telephone_number": "608-359-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 WOODGATE DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468205",
            "telephone_number": "608-359-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTH",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6430-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MISORA",
            "middle_name": "A",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitchell A Kopnick, MD
• Michael M. Korbol, P.A.
• Cassi Leann Kornely
• Tina L. Kosnar, MD
• Maria Kostantacos, APRN, FNP
• Erin Beth Kotthaus, RN
• Joseph George Kovacic, DO
• Jason Krahenbuhl
• Nicole Krahenbuhl, COTA
• Tamara R Kramer, MD

• Physical Therapist in Janesville, WI
• Providers in Janesville, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.