Individual provider Active NPI

Karen L Wimmer

  • Pediatric Physical Therapist
  • San Antonio, TX
National Provider Identifier
1255822722
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1036507 Issued in TX
Practice address
1003 Beckett Ste 201
San Antonio, TX 78213-1372
Phone
(210) 998-2330
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1036507 TX
Pediatric Physical Therapist 2251P0200X 1036507 TX Primary

Addresses

Primary practice location

1003 Beckett Ste 201
San Antonio, TX 78213-1372

Mailing address

912 Arroweye TRL
Austin, TX 78733-1807
Phone (512) 773-0852

Other practice location 1

5000 Bee Caves Rd Ste 206
West Lake Hills, TX 78746-5552
Phone (512) 284-8964

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
1036507TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mlee-SLP, LLC PastSince Jul 17, 2022 Accepting new patients
Mlee SLP LLC PastSince Jun 5, 2022 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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1255822722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 ARROWEYE TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787331807",
            "telephone_number": "512-773-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BECKETT STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131372",
            "telephone_number": "210-998-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Bee Caves Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465552",
            "country_code": "US",
            "telephone_number": "512-284-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "KAREN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1036507",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1036507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.