Organization Active NPI

Konzak Therapy LLC

  • Hand Occupational Therapist
  • Port Washington, WI
National Provider Identifier
1366696049
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
3445-26 Issued in WI
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

Updated by the provider on Nov 7, 2008

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)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.