Karen R. Proctor, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT871 Issued in ME

Practice address

43 Baxter Blvd
Portland, ME 04101-1823

Phone

(207) 874-7992

Fax

(207) 774-9156

NPI assigned

Feb 23, 2006

Last updated

Dec 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewater Orthopedic Physical Therapy, LLCGroup PAC ID 2961599907, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Edgewater Orthopedic Physical Therapy, LLC

  • Physical Therapist
  • Falmouth, ME
  • NPI 1053518332
  Medicare reassignment Care Compare group NPD
• H2O Fitness Collaborative LLC

  • Physical Therapist
  • Scarborough, ME
  • NPI 1003401803
  Medicare reassignment NPD
• Success Physical Therapy

  • Physical Therapist
  • Portland, ME
  • NPI 1548235351
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1053386854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 LEDGEWOOD DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051812",
            "telephone_number": "207-872-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011823",
            "telephone_number": "207-874-7992",
            "fax_number": "207-774-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "KAREN",
        "middle_name": "R.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Delivery Services, LLC (Trellis Health)
• Prime Home (Home Health aide and personal care)
• Jane P Pringle, M.D.
• Clare Mathews Pritchard, RN
• Procare Pharmacy, L.L.C. (CVS/Pharmacy #48611)
• Professional Care Solutions LLC
• Professional Hands Home Care
• Progressive Medical Care LLC
• Promptcare Maine LLC
• Promptcare New England Respiratory

• Physical Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.