Organization Active NPI

Karen Desimone, LLC

  • Physical Therapy Clinic/Center
  • South Yarmouth, MA
National Provider Identifier
1306300330
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KAREN DESIMONE, LLC
Doing business as
kd Physical Therapy & Fitness
Practice address
23 Whites Path Ste E
South Yarmouth, MA 02664-1239
Phone
(508) 619-4833
Fax
(508) 619-4835
NPI assigned
Jan 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Karen Desimone, PT, DPTNPI 1508956731
Title
Owner
Phone
(508) 619-4833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

23 Whites Path Ste E
South Yarmouth, MA 02664-1239

Mailing address

23 Whites Path Ste E
South Yarmouth, MA 02664-1239
Phone (508) 619-4833

Other identifiers 1

IdentifierTypeStateIssuer
1508956731OtherNPI

Other names 1

  • kd Physical Therapy & Fitness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210726002063 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759784937 Receives reassigned benefits from 1 practitioner
Practice locations: South Yarmouth, MA

National Provider Directory

National Provider Directory

Locations

23 Whites Path
Ste E
South Yarmouth, MA 02664
Phone (508) 619-4833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1306300330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE E",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641239",
            "telephone_number": "508-619-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE E",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641239",
            "telephone_number": "508-619-4833",
            "fax_number": "508-619-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN DESIMONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-619-4833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508956731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kd Physical Therapy & Fitness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "kd Physical Therapy & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.