Kamille Baker Konold, RPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2018003248 Issued in MO

Practice address

416 S High St
Butler, MO 64730-1827

Phone

(660) 679-6158

NPI assigned

Dec 12, 2023

Last updated

Dec 12, 2023By 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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1922875749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MEADOW LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662061426",
            "telephone_number": "816-506-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S HIGH ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301827",
            "telephone_number": "660-679-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOLD",
        "first_name": "KAMILLE",
        "middle_name": "BAKER",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MO",
            "license": "2018003248",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "2018003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joyce Jr., D.O.
• Leslie Keller, COTA
• John Allen Keough, M.A.
• Travis Michael Kershner, D.C.
• Lori King, FNP
• Aida G Lawrence, CRNA
• Curtis W Long, MD
• Maple Management LC (Maple Senior Living of Butler)
• Medicalodges, Inc. (Medicalodges Butler)
• Medicine by Dr Henderson LLC (Butler Urgent Medicine)

• Pediatric Physical Therapist in Butler, MO
• Providers in Butler, MO by specialty
• Pediatric Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.