Boni Mae Knoble, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2737 Prairie Ave
Beloit, WI 53511-2246

Phone

(608) 299-8181

Fax

(608) 299-8281

NPI assigned

May 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Boni Mae Slagerman Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Therapists LTD.Group PAC ID 0648286070, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wisconsin Therapists LTD.

  • Physical Therapist
  • Beloit, WI
  • NPI 1801919493
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1508394248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112246",
            "telephone_number": "608-299-8181",
            "fax_number": "608-299-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112246",
            "telephone_number": "608-299-8181",
            "fax_number": "608-299-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLE",
        "first_name": "BONI",
        "middle_name": "MAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONI",
            "last_name": "SLAGERMAN",
            "middle_name": "MAE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia A Klein, MS LCP LCPC
• Kenneth L Klein, MD
• Kathleen M Klespis-Wick, MD
• Trisha S Kloos, PTA
• Rachel E Knabe, OT
• Stephanie Knueppel, LPC
• Debra J Koch, PT
• Kayla N Koch
• Ronald L Kodras, MD
• Steven Thomas Koester

• Physical Therapist in Beloit, WI
• Providers in Beloit, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.