Active NPI
Michele Knapp-Pingel, PTA
- Physical Therapy Assistant
- Kaukauna, WI
National Provider Identifier
1235268129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 380-019
- Practice address
- 316 E 14TH St
Kaukauna, WI 54130-3304 - Phone
- (920) 766-6202
- Fax
- (920) 759-1937
- NPI assigned
- Mar 5, 2007
- 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 Therapy Assistant | 225200000X | 380-019 | WI | Primary |
Addresses
Primary practice location
316 E 14TH St
Kaukauna, WI 54130-3304
Mailing address
N3260 French Rd
Appleton, WI 54913-8930
Phone (920) 954-1988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36100100 | Medicaid | WI | |
| 380-019 | Other | WI | STATE OF WI |
Other names 1
- Michele Knapp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380-019 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235268129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N3260 FRENCH RD",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138930",
"telephone_number": "920-954-1988",
"fax_number": "920-759-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 E 14TH ST",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541303304",
"telephone_number": "920-766-6202",
"fax_number": "920-759-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP-PINGEL",
"first_name": "MICHELE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "380-019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36100100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WI",
"identifier": "380-019",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "KNAPP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kaukauna, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.