Individual provider Active NPI

Karin L Wolosz, PT, DPT

  • Physical Therapist
  • East Hanover, NJ
National Provider Identifier
1215215868
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01405000 Issued in NJ
Practice address
11 Eagle Rock Ave
Suite 201
East Hanover, NJ 07936-3167
Phone
(973) 887-9000
Fax
(973) 887-3816
NPI assigned
Aug 1, 2011
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 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 40QA01405000 NJ Primary

Addresses

Primary practice location

11 Eagle Rock Ave
Suite 201
East Hanover, NJ 07936-3167

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

140 Park Ave
Florham Park, NJ 07932-1049
Phone (973) 285-7613

Other names 1

  • Karin L Creighton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110923000339 NJ Practitioner - Physical Therapist in Private Practice 0042481053 Reassigns benefits to 2 organizations
I20230914000206 HI Practitioner - Physical Therapist in Private Practice 0042481053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01405000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Jan 6, 2025 Accepting new patients
Kauai Independent Rehabilitation Associates, LLC Physical Therapist CurrentSince Jun 10, 2023 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Aug 1, 2011 Accepting new patients
Summit Medical Group PA CurrentSince Jan 6, 2025 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

4359 Kukui Grove St
Ste 102
Lihue, HI 96766
Phone (808) 431-4655

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone 9738879000 ext. 317

140 Park Ave
Florham Park, NJ 07932
Phone (973) 285-7613

3219 US Highway 46
Ste 101
Parsippany, NJ 07054
Phone (973) 299-2199

Interoperability endpoints

  • Direct secure messaging: karin.wolosz.1@2983.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1215215868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "SUITE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079321049",
            "country_code": "US",
            "telephone_number": "973-285-7613",
            "fax_number": "973-267-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLOSZ",
        "first_name": "KARIN",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01405000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "CREIGHTON",
            "middle_name": "L",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.