Individual provider Active NPI

Karime Wayne Condison, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1255946505
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045876 Issued in NY
Practice address
1187 Eastern Pkwy Apt 17
Brooklyn, NY 11213-6331
Phone
(718) 377-5000
Fax
(718) 377-5002
NPI assigned
Sep 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 045876 NY Primary

Addresses

Primary practice location

1187 Eastern Pkwy Apt 17
Brooklyn, NY 11213-6331

Mailing address

1187 Eastern Pkwy Apt 17
Brooklyn, NY 11213-6331
Phone (718) 377-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921002004 NY Practitioner - Physical Therapist in Private Practice 9032537220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homeside Rehab PT OT SLP LLCGroup PAC ID 7810045309, 45 clinicians

Practice addresses (Care Compare)

2142 Utopia Pkwy
Whitestone, NY 11357-4142
Phone (718) 767-0610

441 Route 306
Suite 2
Monsey, NY 10952-1234
Phone (718) 377-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045876NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 26, 2020 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Homeside Rehab, PT, OT, SLP LLC Physical Therapist CurrentSince Aug 21, 2020 Accepting new patients
Visiting Rehab PT OT SLP PLLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Sep 26, 2020 Accepting new patients

Locations

3846 Flatlands Ave
#2
Brooklyn, NY 11234
Phone (917) 754-6634

2048 Flatbush Ave
Brooklyn, NY 11234
Phone (718) 252-0300

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

296 Route 59
Ste 1225
Suffern, NY 10901

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 5

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1255946505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 EASTERN PKWY APT 17",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112136331",
            "telephone_number": "718-377-5000",
            "fax_number": "718-377-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 EASTERN PKWY APT 17",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112136331",
            "telephone_number": "718-377-5000",
            "fax_number": "718-377-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDISON",
        "first_name": "KARIME",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.