Jennifer Marie Kundinger

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2515 Issued in WI

Practice address

1401 Churchill St
Waupaca, WI 54981-2027

Phone

(715) 258-8131

NPI assigned

Jun 15, 2017

Last updated

Mar 11, 2019By the provider in NPPES

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

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1619407392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N LAWE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114838",
            "telephone_number": "920-268-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHURCHILL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812027",
            "telephone_number": "715-258-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDINGER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4810",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Kraeger, LCSW
• Deborah Kraemer
• Cari Jo Kramer, AUD
• Joseph Kuchler, APNP
• Carol Kulaga, RPH
• Robert Lange, MOTR
• Nathan Michael Larsen, M.D.
• Nicole R Lauritzen, LPC-T
• Miriam Joy Leean-Rodenz, D.C.
• Kathryn Nancy Leeman, PTA

• Physical Therapy Assistant in Waupaca, WI
• Providers in Waupaca, 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 Mar 11, 2019; 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.