Individual provider Active NPI

Karen Nicole Gorlewski, PTA, ATC

  • Physical Therapy Assistant
  • Florence, KY
National Provider Identifier
1295464642
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A02978 Issued in KY
Practice address
68 Cavalier Blvd
Florence, KY 41042-1645
Phone
(859) 283-0707
Fax
(859) 647-3022
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT447 KY
Physical Therapy Assistant 225200000X A02978 KY Primary

Addresses

Primary practice location

68 Cavalier Blvd
Florence, KY 41042-1645

Mailing address

509 Rifle LN
Elsmere, KY 41018-2699
Phone (859) 802-7068

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
A02978KYMDPhysical Therapy Assistant
AT447KYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Jun 12, 2022 Accepting new patients

Locations

68 Cavalier Blvd
Florence, KY 41042
Phone (513) 475-7630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1295464642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 RIFLE LN",
            "city": "ELSMERE",
            "state": "KY",
            "postal_code": "410182699",
            "telephone_number": "859-802-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CAVALIER BLVD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421645",
            "telephone_number": "859-283-0707",
            "fax_number": "859-647-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORLEWSKI",
        "first_name": "KAREN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT447",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.