Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conner Funnell

Individual provider Pediatric Physical Therapist · NPI 1649109240

Conner Funnell is a Pediatric Physical Therapist in Portage, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

626 E Slifer St
Portage, WI 53901-1224
Phone: (608) 745-5400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X

Record details

NPI number1649109240
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address4214 School Rd, Madison, WI 53704-1611