Active NPI
Karen Cole Gottschalk, PT
- Physical Therapist
- Kenosha, WI
National Provider Identifier
1316166606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 148464-24
- Practice address
- 7610 Pershing Blvd
Kenosha, WI 53142-4318 - Phone
- (262) 948-3600
- NPI assigned
- Apr 25, 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 Therapist | 225100000X | 148464-24 | WI | Primary |
Addresses
Primary practice location
7610 Pershing Blvd
Kenosha, WI 53142-4318
Mailing address
PO Box 735041
Chicago, IL 60673-5041
Phone (800) 326-2250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100140484 | Medicaid | WI | |
| 14864-24 | Other | WI | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karengottschalkpt@hushmail.com | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148464-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Health Care Southern Lakes, Inc. | Past | Accepting new patients | |
| Integrated Clinix | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1316166606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735041",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735041",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 PERSHING BLVD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531424318",
"telephone_number": "262-948-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSCHALK",
"first_name": "KAREN",
"middle_name": "COLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "148464-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100140484",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
"identifier": "14864-24",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "karengottschalkpt@hushmail.com",
"affiliation": "N",
"endpointDescription": "encrypted e-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "202 W Summerhill Pl",
"city": "Oak Creek",
"state": "WI",
"country_code": "US",
"postal_code": "531545035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.