Konner Street, DPT
NPI 1780453308 · Physical Therapist · Maryville, IL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Konner Street, DPT is a Physical Therapist provider in Maryville, IL (NPI 1780453308).
Provider details
- NPI number
- 1780453308
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 008995 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 71 Orphanage RdFt Mitchell, KY 41017-3006Phone: (859) 331-0880Fax: (855) 719-0501
Registry dates
- Enumerated
- 2023-12-22
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Konner Street's NPI number?
- Konner Street's National Provider Identifier (NPI) is 1780453308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Konner Street's specialty?
- Konner Street is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Konner Street located?
- Konner Street's practice location on file with NPPES is 6800 State Route 162, Maryville, IL 62062.
- What is Konner Street's phone number?
- The practice phone number listed in the NPPES registry for Konner Street is (618) 288-5711.
- Does Konner Street accept Medicare?
- Konner Street is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Konner Street's NPI active?
- Yes — Konner Street's NPI (1780453308) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.