Stephanie Kosidowski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6265-024 Issued in WI

Practice address

700 Quinlan Dr
Pewaukee, WI 53072-1823

Phone

(262) 695-5925

NPI assigned

May 20, 2008

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Homes of Wisconsin IncGroup PAC ID 7618341439, 38 clinicians

Practice addresses (Care Compare)

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.

• Presbyterian Homes of Wisconsin, Inc.

  • Rehabilitation Clinic/Center
  • Waukesha, WI
  • NPI 1336845551

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Presbyterian Homes of Wisconsin, Inc.

  • Rehabilitation Clinic/Center
  • Germantown, WI
  • NPI 1194414441

  Physical Therapist

  NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1225295017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N55W27853 HANOVER HILL RD",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894528",
            "telephone_number": "262-352-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINLAN DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721823",
            "telephone_number": "262-695-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIDOWSKI",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6265-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Lee Koehler, DDS
• Patrick N Koenig, M.D.
• Hannah Marie Kohlmetz, LCMHCA, LPC-IT
• Maria Kohlwey, LAT
• Melissa Ann Kohnert, LCSW
• Steven Mather Kotsonis, M.D.
• Jordan David Krause, PA
• Anita Hargarten Krier, LMT
• Teri A Krier, RD, CD
• Nicholas Kriesel, PA-C, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.