NPIMap

Organization Active NPI

Connected Core Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Appleton, WI
National Provider Identifier
1336835339
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CONNECTED CORE PHYSICAL THERAPY & WELLNESS LLC
Practice address
6 Bellaire CT
Appleton, WI 54911-5264
Phone
(920) 428-3301
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Authorized official

Name
Meagan Peeters Gebler, PT
Title
Physical Therapist
Phone
(920) 428-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6 Bellaire CT
Appleton, WI 54911-5264

Mailing address

6 Bellaire CT
Appleton, WI 54911-5264
Phone (920) 428-3301

Other names 1

  • Connected Core LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701561600000",
    "number": "1336835339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BELLAIRE CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115264",
            "telephone_number": "920-428-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BELLAIRE CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115264",
            "telephone_number": "920-428-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED CORE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "PEETERS GEBLER",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "920-428-3301",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connected Core LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.