MISS AMY KONIECZNY (DPT) – Physical Therapist, NPI 1174929343
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS AMY KONIECZNY (DPT)
24530 W MOLINE MARTIN RD
MILLBURY, OH 434479528
Phone: (419) 349-7122
Type: Mailing
1675 LANCE POINTE RD
MAUMEE, OH 435371603
Phone: (419) 891-9800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170126000118 | I | Physical Therapist In Private Practice | OH | TBD |
| I20181109001772 | I | Physical Therapist In Private Practice | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 540 | 39 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 484 | 42 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 43447)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | CO |
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