Active NPI
Konzak Therapy LLC
- Hand Occupational Therapist
- Port Washington, WI
National Provider Identifier
1366696049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 3445-26
- Legal business name
- KONZAK THERAPY LLC
- Practice address
- 333 W Walters St
Port Washington, WI 53074-1455 - Phone
- (414) 268-1800
- NPI assigned
- Nov 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Konzak, OTR/CHT
- Title
- Occupational Therapist
- Phone
- (920) 668-6777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 3445-26 | WI | Primary |
Addresses
Primary practice location
333 W Walters St
Port Washington, WI 53074-1455
Mailing address
511 S 6TH St
Cedar Grove, WI 53013-1679
Phone (920) 668-6777
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226016000000",
"number": "1366696049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 S 6TH ST",
"city": "CEDAR GROVE",
"state": "WI",
"postal_code": "530131679",
"telephone_number": "920-668-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W WALTERS ST",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530741455",
"telephone_number": "414-268-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KONZAK THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A",
"authorized_official_last_name": "KONZAK",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "920-668-6777",
"authorized_official_credential": "OTR/CHT"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "WI",
"license": "3445-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.