Individual provider Active NPI

Karen Gail Gartner, PT, PCS, ATP

  • Pediatric Physical Therapist
  • Rutland, VT
National Provider Identifier
1205994803
Registry record updated Oct 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
040-0000895 Issued in VT
Practice address
7 Albert Cree Dr
Kids on the Move at Ravnah
Rutland, VT 05701-4601
Phone
(802) 770-1652
Fax
(802) 747-0021
NPI assigned
Dec 5, 2006
Last updated
Oct 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 040-0000895 VT Primary

Addresses

Primary practice location

7 Albert Cree Dr
Kids on the Move at Ravnah
Rutland, VT 05701-4601

Mailing address

41 N Street Ext
Rutland, VT 05701-2536
Phone (802) 775-7318

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
040-0000895VTMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287792000000",
    "number": "1205994803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N STREET EXT",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012536",
            "telephone_number": "802-775-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALBERT CREE DR",
            "address_2": "KIDS ON THE MOVE AT RAVNAH",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014601",
            "telephone_number": "802-770-1652",
            "fax_number": "802-747-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTNER",
        "first_name": "KAREN",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "PT, PCS, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VT",
            "license": "040-0000895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2010; 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.