Active NPI
Karen Jean Roy, MS,PT
- Pediatric Physical Therapist
- Bradford, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 040.0003207
- Practice address
- 64 Main Street
Bradford, VT 05033 - Phone
- (802) 222-5216
- NPI assigned
- Oct 19, 2021
- Last updated
- Oct 19, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2254 | NH | |
| Pediatric Physical Therapist | 2251P0200X | 012960-1 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 040.0003207 | VT | Primary |
Addresses
Primary practice location
64 Main Street
Bradford, VT 05033
Mailing address
PO Box 254
East Thetford, VT 05043-0254
Phone (802) 299-5729
Other practice location 1
70 Lower Main St
Sunapee, NH 03782-2909
Phone (603) 763-4627
Other practice location 2
86 N Main St
Newport, NH 03773-1323
Phone (603) 865-9500
Other practice location 3
70 Amsden Way
Woodstock, VT 05091-3400
Phone (802) 457-1213
Other practice location 4
10 School Dr
Orford, NH 03777-4536
Phone (603) 353-2170
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2254 | NH | MD | Registered Dietitian |
| 040.0003207 | VT | MD | Pediatric Physical Therapist |
| 012960-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange East Supervisory Union | Current | Accepting new patients | |
| Rivendell Interstate School District | Past | Accepting new patients | |
| Mountain Views Supervisory Union | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Bradford, VT
- NPI 1962363838
-
- Local Education Agency (LEA)
- Woodstock, VT
- NPI 1457229528
-
- Local Education Agency (LEA)
- Orford, NH
- NPI 1043479900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1194488874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254",
"city": "EAST THETFORD",
"state": "VT",
"postal_code": "050430254",
"telephone_number": "802-299-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAIN STREET",
"city": "BRADFORD",
"state": "VT",
"postal_code": "05033",
"telephone_number": "802-222-5216"
}
],
"practiceLocations": [
{
"address_1": "70 Lower Main St",
"address_purpose": "LOCATION",
"city": "Sunapee",
"state": "NH",
"postal_code": "037822909",
"country_code": "US",
"telephone_number": "603-763-4627",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "86 N Main St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "NH",
"postal_code": "037731323",
"country_code": "US",
"telephone_number": "603-865-9500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 Amsden Way",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "VT",
"postal_code": "050913400",
"country_code": "US",
"telephone_number": "802-457-1213",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 School Dr",
"address_purpose": "LOCATION",
"city": "Orford",
"state": "NH",
"postal_code": "037774536",
"country_code": "US",
"telephone_number": "603-353-2170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROY",
"first_name": "KAREN",
"middle_name": "JEAN",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NH",
"license": "2254",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "012960-1",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VT",
"license": "040.0003207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.