Active NPI
K 13 Physical Therapy & Sports Medicine PC
- Physical Therapist
- Saint Johns, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- K 13 PHYSICAL THERAPY & SPORTS MEDICINE PC
- Practice address
- 1507 Waterford Pkwy
Saint Johns, MI 48879-9630 - Phone
- (989) 227-5404
- Fax
- (989) 227-5415
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara A Koenigsknecht, PT
- Title
- President
- Phone
- (989) 227-5404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1507 Waterford Pkwy
Saint Johns, MI 48879-9630
Mailing address
PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
239 E Grand River Rd
Laingsburg, MI 48848
Phone (517) 651-1322
1240 E Grand River Ave
Portland, MI 48875
Phone (517) 743-6122
1507 Waterford Pkwy
Ste A
Saint Johns, MI 48879
Phone (989) 227-5404
1507 Waterford Pkwy
Saint Johns, MI 48879
Phone (989) 227-5404
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Saint Johns, MI
- NPI 1205849940
-
- Physical Therapist
- Saint Johns, MI
- NPI 1720870371
-
- Physical Therapist
- Lansing, MI
- NPI 1104132877
-
- Physical Therapist
- Saint Johns, MI
- NPI 1538698014
-
- Physical Therapist
- Lansing, MI
- NPI 1629481635
-
- Physical Therapist
- Saint Johns, MI
- NPI 1487144366
-
- Physical Therapist
- Saint Johns, MI
- NPI 1356006092
-
- Professional Counselor
- Saint Johns, MI
- NPI 1306499900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861405581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MASON",
"state": "MI",
"postal_code": "488540010",
"telephone_number": "517-676-9788",
"fax_number": "517-676-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 WATERFORD PKWY",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488799630",
"telephone_number": "989-227-5404",
"fax_number": "989-227-5415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K 13 PHYSICAL THERAPY & SPORTS MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOENIGSKNECHT",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-227-5404",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.