Karen St John

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

756-019 Issued in WI

Practice address

905 East Geneva Street
Delavan, WI 53115

Phone

(262) 728-1442

Fax

(262) 728-6693

NPI assigned

May 7, 2007

Last updated

Jul 9, 2007By 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 1

Addresses

Other identifiers 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740493006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 EASTOWN MNR",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 EAST GENEVA STREET",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "53115",
            "telephone_number": "262-728-1442",
            "fax_number": "262-728-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHN",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "756-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40439700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Patrick Smith, DDS
• Theresa Marie Smith, M.S.
• Vicki Lee Soderberg, LPN
• Joel Sperling, D.C.
• Kristen Spreitzer, BS
• Christopher Stringham, PHARMD
• Dana R Strunz, PTA
• Kami Marie Studer, MS/CCC-SLP
• Nicole Lynn Swigart, OD
• Emily Scheff Taibl

• Physical Therapy Assistant in Delavan, WI
• Providers in Delavan, 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 Jul 9, 2007; 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.