Active NPI
Karen Judith Koutsourades, PT
- Physical Therapist
- Albany, NY
National Provider Identifier
1154310258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019759
- Practice address
- 215 Washington Avenue Ext
Albany, NY 12205-5534 - Phone
- (518) 452-0914
- Fax
- (518) 452-5953
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019759 | NY | Primary |
Addresses
Primary practice location
215 Washington Avenue Ext
Albany, NY 12205-5534
Mailing address
215 Washington Avenue Ext
Albany, NY 12205-5534
Phone (518) 452-0914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02549686 | Medicaid | NY |
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 |
|---|---|---|---|
| 019759 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154310258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 WASHINGTON AVENUE EXT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055534",
"telephone_number": "518-452-0914",
"fax_number": "518-452-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WASHINGTON AVENUE EXT",
"city": "ALBANY",
"state": "NY",
"postal_code": "122055534",
"telephone_number": "518-452-0914",
"fax_number": "518-452-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUTSOURADES",
"first_name": "KAREN",
"middle_name": "JUDITH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02549686",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.