Individual provider Active NPI

Karen Thernelan, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1285870279
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0302761 Issued in NY
Practice address
229 Jefferson Ave
Brooklyn, NY 11216-1708
Phone
(917) 805-7031
NPI assigned
Dec 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 0302761 NY Primary

Addresses

Primary practice location

229 Jefferson Ave
Brooklyn, NY 11216-1708

Mailing address

425 5TH Ave
4TH FL.
New York, NY 10016-2223
Phone (212) 688-2650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815002009 AZ Practitioner - Physical Therapist in Private Practice 3173783016 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0302761NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jun 28, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Sep 25, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Sep 25, 2024 Accepting new patients
Healthy Physique Physical Therapy Physical Therapist Past Accepting new patients
Prime Physique Physical Therapy Physical Therapist Past Accepting new patients
Comprehensive Healhtcare and Medical Services PLLC Past Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

7601 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 293-5551

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1285870279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 5TH AVE",
            "address_2": "4TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162223",
            "telephone_number": "212-688-2650",
            "fax_number": "212-688-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JEFFERSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161708",
            "telephone_number": "917-805-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERNELAN",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0302761",
            "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 Dec 23, 2008; 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.

Verify at the official NPI Registry.