Active NPI
Kimberly Kuehl, DPT
- Physical Therapist
- Two Rivers, WI
National Provider Identifier
1962654723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10998-024
- Practice address
- 5000 Memorial Dr
Two Rivers, WI 54241-3900 - Phone
- (920) 794-5376
- NPI assigned
- Oct 10, 2008
- Last updated
- Nov 30, 2023
- 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 | 10998-024 | WI | Primary |
Addresses
Primary practice location
5000 Memorial Dr
Two Rivers, WI 54241-3900
Mailing address
PO Box 735041
Chicago, IL 60673-5041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36188700 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10998-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1962654723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735041",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 MEMORIAL DR",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542413900",
"telephone_number": "920-794-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUEHL",
"first_name": "KIMBERLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10998-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36188700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Two Rivers, WI
- Allison Kosicek, MSN, APRN, FNP
- Katie Marie Koubaddy
- Janna A Kroiss, D.O.
- Karrie May Kudrna Behrent, LPC
- Pafoua C Kue, APSW
- Lisa A Kumbalek, NP
- Lakeshore Apothacare Inc (Medicine Shoppe)
- Lakeshore Apothacare Inc (The Medicine Shoppe 1564 - LTC)
- Lakeshore Apothacare Inc. (Medicine Shoppe)
- Lakeshore Chiropractic, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.