CHERYL LYNN KONCZAL (NPI# 1699967034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699967034 |
| Entity Type | Individual |
| Full Name | CHERYL LYNN KONCZAL |
| Credential | P.T.A. |
| Practice Address |
7517 W Coldspring Rd Greenfield WI 53220-2814 |
| Practice Telephone | 4143276603 |
| Mailing Telephone | 4143276603 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
829-019 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7517 W COLDSPRING RD |
| City | GREENFIELD |
| State | WI |
| Zip Code | 53220-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265489454 | Virginia A Brath | Occupational Therapist | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2006-05-31 |
| 1043636889 | Shari Marie Pack | Occupational Therapy Assistant | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-03-17 |
| 1306262647 | Lisa Rochester | Physical Therapy Assistant | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-03-11 |
| 1699197384 | Caroline Blaszczak | Physical Therapy Assistant | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-01-14 |
| 1235551243 | Sharon Louise Cello Starks | Physical Therapy Assistant | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-01-09 |
| 1609298710 | Stephanie Wexler | Speech-Language Pathologist | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-01-08 |
| 1164844346 | Amanda Banker | Physical Therapy Assistant | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-01-07 |
| 1558783720 | Elyse Lemoine | Speech-Language Pathologist | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-01-07 |
| 1639590904 | Jennifer Lucarelli | Physical Therapy Assistant | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2014-01-03 |
| 1649606294 | Cynthia L Walker | Physical Therapist | 7517 W Coldspring Rd, Greenfield, WI 53220-2814 | 2013-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871061069 | Kathleen Elizabeth White | Orthotist | 6790 W. Layton Ave, Greenfield, WI 53220 | 2018-11-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1730601675 | Rosaana Avila | Physical Therapist | 3944 S. 60th St., Milwaukee, WI 53220 | 2017-07-12 |
| 1285002667 | Casey E Reis | Nurse Practitioner | 4848 S. 76th Street, Greenfield, WI 53220 | 2015-09-02 |
| 1437539798 | Luke Robert Garceau | Physical Therapist | 6520 W. Layton Ave #101, Greenfield, WI 53220 | 2015-06-02 |
| 1295139012 | Tammy Giannopoulos, LLC | Clinic/Center | 4402 S 68th St Suite 100, Greenfield, WI 53220 | 2014-10-22 |
| 1861754244 | Lakeshore Medical Clinic | Occupational Therapist | 4444 West Loomis Road, 200, Greenfield, WI 53220 | 2012-06-12 |
| 1598083115 | Rebecca Anne Kappes | Licensed Practical Nurse | 8208 W Tripoli, Milwaukee, WI 53220 | 2010-05-06 |
| 1699941005 | Susan Marie Delaet | Physical Therapy Assistant | 5700 West Layton Ave, Greenfield, WI 53220 | 2008-05-06 |
| Find all providers in zip 53220 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1083887269 | Mary Kluth | Physical Therapist | 4500 W Loomis Rd, Greenfield, WI 53220-4819 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396270559 | Tosha Wagner | Physical Therapist | 6315 Quarry Vista Dr Apt 225, Fitchburg, WI 53719-9102 | 2017-04-25 |
| 1194185330 | Lauren Pollpeter | Physical Therapist | N104w20831 Willow Creek Rd, Colgate, WI 53017-9501 | 2016-03-01 |
| 1205279817 | Megan Oeth | Physical Therapist | 5025 Spaanem Ave, Madison, WI 53716-2837 | 2013-04-12 |
| 1811230253 | Rajeshwari N Iyer | Physical Therapist | 2738 Park Place Ln Apt 39, Janesville, WI 53545-5267 | 2013-04-04 |
| 1902131931 | Richard Lewis | Physical Therapist | 6341 Johnston Dr, Two Rivers, WI 54241-9671 | 2009-10-08 |
| 1285868513 | Dennis Borja Miranda | Physical Therapist | 311 W Kalsched St, Apt. 209, Marshfield, WI 54449-1466 | 2009-05-14 |
| 1932342011 | Linda Kettner Tucker | Physical Therapist | 5000 Mequon Road, Mequon, WI 53092 | 2009-04-20 |
| 1093963019 | Jessica M. Hoinacki | Physical Therapist | W2342 Puchyan Rd, Berlin, WI 54923-9486 | 2008-09-03 |
| 1396912333 | Sherilyn Weinert | Physical Therapist | 18365 Harvest Ln, Brookfield, WI 53045-5446 | 2008-05-09 |
| 1417163551 | Katherine Ann Brewer | Physical Therapist | W289n6369 Blackhawk Dr, Hartland, WI 53029-9448 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 53220 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.