Individual provider Active NPI

Kara Michele Charnholm, MSPT

  • Physical Therapist
  • Show Low, AZ
National Provider Identifier
1043408974
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3410 Issued in AZ
Practice address
4800 South White Mountain Rd
Suite a
Show Low, AZ 85901-7876
Phone
(928) 537-8766
NPI assigned
Oct 4, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3410 AZ Primary

Addresses

Primary practice location

4800 South White Mountain Rd
Suite a
Show Low, AZ 85901-7876

Mailing address

4800 S White Mountain Rd
Ste. a
Show Low, AZ 85901-7876
Phone (928) 537-8766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Physical Therapy, LTD. PastSince Mar 1, 2001 Accepting new patients
Joseph City Unified School District #2 Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1043408974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S WHITE MOUNTAIN RD",
            "address_2": "STE. A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017876",
            "telephone_number": "928-537-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SOUTH WHITE MOUNTAIN RD",
            "address_2": "SUITE A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017876",
            "telephone_number": "928-537-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNHOLM",
        "first_name": "KARA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.