Active NPI
Karen Worth Royall, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1265455570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305002708
- Practice address
- 1400 Fordham Dr
Virginia Beach, VA 23464-5368 - Phone
- (757) 361-3951
- Fax
- (757) 361-3957
- NPI assigned
- Jul 26, 2006
- Last updated
- Aug 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305002708 | VA | Primary |
Addresses
Primary practice location
1400 Fordham Dr
Virginia Beach, VA 23464-5368
Mailing address
218 51St St
Virginia Beach, VA 23451-2428
Phone (757) 647-5107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305002708 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Dominion University | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba ODU Monarch Physical Therapy
- Physical Therapist
- Norfolk, VA
- NPI 1871929729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1265455570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 51ST ST",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234512428",
"telephone_number": "757-647-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FORDHAM DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645368",
"telephone_number": "757-361-3951",
"fax_number": "757-361-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYALL",
"first_name": "KAREN",
"middle_name": "WORTH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305002708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.