Active NPI
Karen W Hutchinson, MPT
- Physical Therapist
- Lakeland, FL
National Provider Identifier
1194064733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19606
- Practice address
- 5245 N Socrum Loop Rd
Lakeland, FL 33809-4253 - Phone
- (863) 859-1446
- NPI assigned
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PT19606 | FL | Primary |
Addresses
Primary practice location
5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Mailing address
5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446
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 |
|---|---|---|---|
| PT19606 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radical Medical Inc | Physical Therapist | Past | Accepting new patients |
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": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1194064733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5245 N SOCRUM LOOP RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094253",
"telephone_number": "863-859-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5245 N SOCRUM LOOP RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094253",
"telephone_number": "863-859-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "KAREN",
"middle_name": "W",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.