Healthcare Provider Details

I. General information

NPI: 1508753096
Provider Name (Legal Business Name): JOSEPH KONOPSKI DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5439 DURAND AVE
MOUNT PLEASANT WI
53406-5058
US

IV. Provider business mailing address

N6750 WALNUT RD
ELKHORN WI
53121-3439
US

V. Phone/Fax

Practice location:
  • Phone: 262-898-9000
  • Fax:
Mailing address:
  • Phone: 262-903-8836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number17234-24
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number17234-24
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number17234-24
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number17234-24
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number17234-24
License Number StateWI
# 6
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17234-24
License Number StateWI
# 7
Primary TaxonomyN
Taxonomy Code2251H1300X
TaxonomyHuman Factors Physical Therapist
License Number17234-24
License Number StateWI
# 8
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number17234-24
License Number StateWI
# 9
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number17234-24
License Number StateWI
# 10
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number17234-24
License Number StateWI
# 11
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number17234-24
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: