Individual provider Active NPI

Karen Washichek, P.T.

  • Physical Therapist
  • Mobile, AL
National Provider Identifier
1164889192
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4579 Issued in AL
Practice address
2048A S Broad St
Mobile, AL 36615-1285
Phone
(251) 433-1414
Fax
(251) 433-9634
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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 PTH4579 AL Primary

Addresses

Primary practice location

2048A S Broad St
Mobile, AL 36615-1285

Mailing address

2048A S Broad St
Mobile, AL 36615-1285
Phone (251) 433-1414

Other identifiers 1

IdentifierTypeStateIssuer
PTH4579OtherALLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906001796 AL Practitioner - Physical Therapist in Private Practice 0941596613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infirmary Occupational Health, LLCGroup PAC ID 5496132375, 2 clinicians

Practice addresses (Care Compare)

2048 A S Broad St
Mobile, AL 36615-1285
Phone (251) 433-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infirmary Occupational Health LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients

Locations

2048A S Broad St
Mobile, AL 36615
Phone (251) 433-1414

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1164889192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048A S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366151285",
            "telephone_number": "251-433-1414",
            "fax_number": "251-433-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048A S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366151285",
            "telephone_number": "251-433-1414",
            "fax_number": "251-433-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHICHEK",
        "first_name": "KAREN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTH4579",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.