Active NPI
Karen D Perkins
- Orthopedic Physical Therapist
- Clearwater, FL
National Provider Identifier
1114408630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT37935
- Practice address
- 3251 N McMullen Booth Rd Ste 201
Clearwater, FL 33761-2022 - Phone
- (727) 461-6026
- Fax
- (727) 796-4345
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Physical Therapist
- Brigantine, NJ
- NPI 1326752213
Orthopedic
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT37935 | FL | MD | Orthopedic Physical Therapist |
| 40QA0028600 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Physical Therapy and Wellness LLC | Orthopedic | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA0028600 | NJ | |
| Orthopedic Physical Therapist | 2251X0800X | PT37935 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3251 N McMullen Booth Rd Ste 201
Clearwater, FL 33761-2022
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT37935 | Other | FL | LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2021.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1114408630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370925",
"telephone_number": "813-978-9700",
"fax_number": "813-558-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 N MCMULLEN BOOTH RD STE 201",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612022",
"telephone_number": "727-461-6026",
"fax_number": "727-796-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "KAREN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA0028600",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT37935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT37935",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.