Individual provider Active NPI

Karolyn Koenig, MPT

  • Physical Therapist
  • St Charles, IL
National Provider Identifier
1285776583
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014733 Issued in IL
Practice address
1820 W Main St
St Charles, IL 60174-1634
Phone
(630) 762-1200
Fax
(630) 762-1230
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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 070014733 IL Primary

Addresses

Primary practice location

1820 W Main St
St Charles, IL 60174-1634

Mailing address

1820 W Main St
St Charles, IL 60174-1634

Other names 1

  • Karolyn Conolty Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000774 IL Practitioner - Physical Therapist in Private Practice 0941466601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Orthopaedic Associates, PLLCGroup PAC ID 6507830387, 73 clinicians

Practice addresses (Care Compare)

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (847) 468-1400

Merit-based Incentive Payment System (MIPS)

Final score
81.69 of 100Reported as group
Quality
74.66
Promoting interoperability
100
Improvement activities
40
Cost
64.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Orthopaedic Associates, S.C. CurrentSince Oct 1, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jul 1, 2012 Accepting new patients

Locations

6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547

1710 N Randall Rd
Ste 160
Elgin, IL 60123
Phone (847) 741-4376

1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

300 S State St
Marengo, IL 60152
Phone (815) 568-4550

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

1820 W Main St
St Charles, IL 60174
Phone (630) 762-1200

Interoperability endpoints

  • Direct secure messaging: karolyn.koenig.1@26750.direct.athenahealth.com

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1285776583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741634",
            "telephone_number": "630-762-1200",
            "fax_number": "630-762-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "KAROLYN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROLYN",
            "last_name": "CONOLTY",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.