Active NPI
Maria Kusel, PT
- Physical Therapist
- Appleton, WI
National Provider Identifier
1891920260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3882-24
- Practice address
- 1650 Tri Park Way
Suite a
Appleton, WI 54914-1652 - Phone
- (920) 830-6697
- Fax
- (920) 830-6707
- NPI assigned
- May 28, 2009
- Last updated
- May 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3882-24 | WI | Primary |
Addresses
Primary practice location
1650 Tri Park Way
Suite a
Appleton, WI 54914-1652
Mailing address
1650 Tri Park Way
Suite a
Appleton, WI 54914-1652
Phone (920) 830-6697
Other names 1
- Maria Hilgendorf
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3882-24 | WI | MD | Physical Therapist |
| 3882 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blankenheim Occupational Therapy | Past | Accepting new patients | |
| Blankenheim Services, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Rochester, NY
- NPI 1588981054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243468800000",
"number": "1891920260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 TRI PARK WAY",
"address_2": "SUITE A",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141652",
"telephone_number": "920-830-6697",
"fax_number": "920-830-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 TRI PARK WAY",
"address_2": "SUITE A",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141652",
"telephone_number": "920-830-6697",
"fax_number": "920-830-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSEL",
"first_name": "MARIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2009-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3882-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "HILGENDORF",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.