Individual provider Active NPI

Sarah Marie Konopasek, PT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1407814437
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007873A Issued in IN
Practice address
11360 Broadway
Crown Point, IN 46307-7104
Phone
(219) 662-8929
Fax
(219) 662-7814
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05007873A IN Primary

Addresses

Primary practice location

11360 Broadway
Crown Point, IN 46307-7104

Mailing address

8047 North Dr
Highland, IN 46322-1349
Phone (219) 688-9633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909003183 IN Practitioner - Physical Therapist in Private Practice 1254759194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05007873AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC CurrentSince Dec 1, 2020 Accepting new patients
Rci (WRS), LLC. CurrentSince Dec 1, 2020 Accepting new patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients

Locations

9150 E 109th Ave
Ste 1D
Crown Point, IN 46307
Phone (219) 363-6051

860 Stillwater Pkwy
Crown Point, IN 46307
Phone (219) 662-8929

12788 State Road 23
Granger, IN 46530
Phone (574) 271-1434

50 Nichols St
Hebron, IN 46341
Phone (219) 996-5695

1900 S Heaton St
Unit 112
Knox, IN 46534
Phone (574) 772-2980

2934 Miller Dr
Plymouth, IN 46563
Phone (574) 941-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1407814437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8047 NORTH DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221349",
            "telephone_number": "219-688-9633",
            "fax_number": "219-662-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077104",
            "telephone_number": "219-662-8929",
            "fax_number": "219-662-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPASEK",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007873A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.