Individual provider Active NPI

Karen M. Sullivan, P.T.

  • Physical Therapist
  • Cumberland, RI
National Provider Identifier
1174638415
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00956 Issued in RI
Practice address
1140 Mendon Road
Cumberland, RI 02864
Phone
(401) 333-9787
Fax
(401) 333-9785
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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 PT00956 RI Primary

Addresses

Primary practice location

1140 Mendon Road
Cumberland, RI 02864

Mailing address

1140 Mendon Road
Cumberland, RI 02864
Phone (401) 333-9787

Other identifiers 2

IdentifierTypeStateIssuer
6025OtherMASTATE LICENSE
PT00956OtherRISTATE LICENSE NUMBER

Other names 1

  • Karen M. Lloyd Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000173 RI Practitioner - Physical Therapist in Private Practice 8820093487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tycam Rehab IncGroup PAC ID 5092017046, 3 clinicians

Practice addresses (Care Compare)

1764 Mendon Rd
Suite 6
Cumberland, RI 02864-4385

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as group
Quality
82.17
Improvement activities
40
Cost
75.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00956RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tycam Rehab Inc. Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Matrix Sports Medicine & Physical Therapy Inc Physical Therapist PastSince Jun 5, 2006 Accepting new patients
Stephen P. Lepre Associates, Physical Therapy Services Inc. Physical Therapist Past Accepting new patients

Locations

1140 Mendon Rd
Cumberland, RI 02864
Phone (401) 333-9787

1764 Mendon Rd
Ste 6
Cumberland, RI 02864
Phone (401) 333-9787

Organizations & group practices 3

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1174638415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MENDON ROAD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "02864",
            "telephone_number": "401-333-9787",
            "fax_number": "401-333-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MENDON ROAD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "02864",
            "telephone_number": "401-333-9787",
            "fax_number": "401-333-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6025",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT00956",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LLOYD",
            "middle_name": "M.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.