Individual provider Active NPI

Karen A Passey I, MPT

  • Physical Therapist
  • Manhattan Beach, CA
National Provider Identifier
1093925513
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28334 Issued in CA
Practice address
2407 N Sepulveda Blvd
#9
Manhattan Beach, CA 90266-2913
Phone
(310) 463-6204
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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 28334 CA Primary

Addresses

Primary practice location

2407 N Sepulveda Blvd
#9
Manhattan Beach, CA 90266-2913

Mailing address

2407 N Sepulveda Blvd
#9
Manhattan Beach, CA 90266-2913
Phone (310) 463-6204

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1093925513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 N SEPULVEDA BLVD",
            "address_2": "#9",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662913",
            "telephone_number": "310-463-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 N SEPULVEDA BLVD",
            "address_2": "#9",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662913",
            "telephone_number": "310-463-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSEY",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.