Active NPI
Karen Desimone, LLC
- Physical Therapy Clinic/Center
- South Yarmouth, MA
National Provider Identifier
1306300330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Desimone, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508956731 | Other | NPI |
Other names 1
- kd Physical Therapy & Fitness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- South Yarmouth, MA
- NPI 1508956731
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.