Christina Marie Prahl, PTA 217-19

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

217-19 Issued in WI

Practice address

2448 S 102ND St
Suite 340
Milwaukee, WI 53227-2466

Phone

(414) 329-2432

Fax

(800) 350-4260

NPI assigned

Dec 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1477898914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4660 LAIRD RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708939",
            "telephone_number": "920-851-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST",
            "address_2": "SUITE 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272466",
            "telephone_number": "414-329-2432",
            "fax_number": "800-350-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAHL",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA  217-19",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "217-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan James Powers, MD
• Susan J Powers, MD
• Mark Powless, PH.D.
• Abishta Prabhu, MD
• Myron E. Praeger, O.D.
• James Daniel Prahl, M.D.
• Mary Prailes
• Prairieland Health Service, LLC
• Jennifer Prall, LCMT
• Amy Renee Prange, RD, CD

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.