Karen Barraca
Individual provider Active NPI Physical Therapist · Hawthorne, CA
NPI 1104580901 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1104580901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 045771 (NY)
- Practice address
- 4900 W 116TH St Apt 22
Hawthorne, CA 90250-2051 - Phone
- (310) 848-7244
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045771 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 045771 | NY | Yes |
Addresses
Primary practice location
4900 W 116TH St Apt 22
Hawthorne, CA 90250-2051
Mailing address
4900 W 116TH St Apt 22
Hawthorne, CA 90250-2051
Phone (310) 848-7244
Other providers in Hawthorne, CA
- Banj Health Center, Inc.
- Summer Geneva Barber
- Roger Baril
- Adrienne Barr
- Pedrum Barr
- Kellie Barrett
- Denise Barry-Alvey
- Allyson Leigh Bates
- Diiehma Michelle Bates
- Alexandria Merrick Baumel
All providers in Hawthorne, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.