Individual provider Active NPI

Karen Alicia Hart, PT

  • Physical Therapist
  • McComb, MS
National Provider Identifier
1093359648
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1880 Issued in MS
Practice address
1301A Harrison Ave
McComb, MS 39648-2829
Phone
(601) 250-5455
Fax
(601) 250-5453
NPI assigned
Nov 6, 2019
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 PT1880 MS Primary

Addresses

Primary practice location

1301A Harrison Ave
McComb, MS 39648-2829

Mailing address

1301A Harrison Ave
McComb, MS 39648-2829
Phone (601) 250-5455

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1880MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Rehab Associates Physical Therapist CurrentSince Nov 10, 2019 Accepting new patients

Locations

1301A Harrison Ave
McComb, MS 39648
Phone (601) 248-2825

Organizations & group practices 1

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1093359648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301A HARRISON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482829",
            "telephone_number": "601-250-5455",
            "fax_number": "601-250-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301A HARRISON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482829",
            "telephone_number": "601-250-5455",
            "fax_number": "601-250-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "KAREN",
        "middle_name": "ALICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.