Judy Karrenbrock, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1048478 Issued in TX

Practice address

308 N Oak St Ste 100
Roanoke, TX 76262-6613

Phone

(903) 574-3750

Fax

(817) 697-0007

NPI assigned

Mar 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Free to Move, LLC

  • Pediatric Physical Therapist
  • Roanoke, TX
  • NPI 1427670116
  NPD Authorized official

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1134545007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15948 HAYES RIDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772074",
            "telephone_number": "903-574-3750",
            "fax_number": "817-697-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N OAK ST STE 100",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626613",
            "telephone_number": "903-574-3750",
            "fax_number": "817-697-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRENBROCK",
        "first_name": "JUDY",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1048478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160575004",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "judy@freetomoveandplay.com",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "Free To Move, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15948 Hayes Ridge Dr",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761772074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shakeara Latoya Johnson, FNP-C
• Jostcare Behavioral Health Services PLLC
• Joy-Filled Counseling, PLLC
• Jude'S Place LLC
• Kallal Bros, LLC
• Kelly Harrelson DDS, PLLC
• Hillery Gabrielle Key, CST/CSFA
• Kharis Eye Care PLLC
• Kimberley a Baker, DDS, PA
• Ashleigh Kinney, LCSW

• All providers in Roanoke, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.