Individual provider Active NPI

Kathryn Leann Karnes, PT

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1194704460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2860 Issued in AR
Practice address
2793 E Millennium PL
Ste 2
Fayetteville, AR 72703-6508
Phone
(479) 521-2232
Fax
(479) 521-0513
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 2860 AR Primary

Addresses

Primary practice location

2793 E Millennium PL
Ste 2
Fayetteville, AR 72703-6508

Mailing address

1350 S Gutensohn Rd
Ste 10
Springdale, AR 72762-5117
Phone (479) 751-7122

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

State licenses

LicenseStateTypeSpecialty
PT 2860ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehabilitation Pinnacle Point Physical Therapist Past Accepting new patients
Trinity Rehabilitation Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194704460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S GUTENSOHN RD",
            "address_2": "STE 10",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625117",
            "telephone_number": "479-751-7122",
            "fax_number": "479-751-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 E MILLENNIUM PL",
            "address_2": "STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036508",
            "telephone_number": "479-521-2232",
            "fax_number": "479-521-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNES",
        "first_name": "KATHRYN",
        "middle_name": "LEANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.