Karen Ann Ticcioni, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

944-019 Issued in WI

Practice address

13111 N Port Washington Rd
Mequon, WI 53097-2416

Phone

(262) 243-7444

Fax

(262) 243-7486

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225072887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 W BONNIWELL RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971801",
            "telephone_number": "262-242-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972416",
            "telephone_number": "262-243-7444",
            "fax_number": "262-243-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICCIONI",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "944-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40138600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Thomas Thompson
• Lindsay Thompson, LAT
• Jennifer Thorpe, MS, ATC, LAT, CSCS
• Thomas N Thorsen, D.O
• Thrivemed, SC
• Jeffrey H Tiger, PH.D.
• Timothy a Carney (TC Counseling Services)
• John Tomashek, M.D.
• Gina M Toynton
• Sandi Beth Tracy, RN

• Physical Therapy Assistant in Mequon, WI
• Providers in Mequon, WI by specialty
• Physical Therapy Assistant in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.