Individual provider Active NPI

Angela Lynne Kuechler, DPT

  • Physical Therapist
  • Clintonville, WI
National Provider Identifier
1861901001
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13848-24 Issued in WI
Practice address
70 W Green Tree Rd
Clintonville, WI 54929-1009
Phone
(715) 823-2194
Fax
(715) 823-1303
NPI assigned
Sep 20, 2017
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13848-24 WI Primary

Addresses

Primary practice location

70 W Green Tree Rd
Clintonville, WI 54929-1009

Mailing address

2915 N Meade St
Appleton, WI 54911-1509
Phone (920) 993-6800

Other practice location 1

2915 N Meade St
Appleton, WI 54911-1509
Phone (920) 993-6800

Other names 1

  • Angela Lynne Fischer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13848-24WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1861901001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111509",
            "telephone_number": "920-993-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W GREEN TREE RD",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291009",
            "telephone_number": "715-823-2194",
            "fax_number": "715-823-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549111509",
            "country_code": "US",
            "telephone_number": "920-993-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUECHLER",
        "first_name": "ANGELA",
        "middle_name": "LYNNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13848-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "FISCHER",
            "middle_name": "LYNNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clintonville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.