Individual provider Active NPI

Karen Ann Webb, PT

  • Physical Therapist
  • Wakefield, MA
National Provider Identifier
1316235336
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15054 Issued in MA
Practice address
414 Main St
Wakefield, MA 01880-3018
Phone
(781) 245-0055
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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 15054 MA Primary

Addresses

Primary practice location

414 Main St
Wakefield, MA 01880-3018

Mailing address

40 Bayberry Rd
Newburyport, MA 01950-3466
Phone (978) 255-3113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120716000003 MA Practitioner - Physical Therapist in Private Practice 9537324728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Motion Physical TherapyGroup PAC ID 1052350394, 8 clinicians

Practice addresses (Care Compare)

414 Main St
Wakefield, MA 01880-3018
Phone (781) 245-0055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15054MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Motion Physical Therapy Physical Therapist CurrentSince Apr 19, 2012 Accepting new patients
Northshore Mobility & Wellness Concierge Physical Therapy Physical Therapist CurrentSince Mar 17, 2024 Accepting new patients

Locations

414 Main St
Wakefield, MA 01880
Phone (781) 245-0055

Organizations & group practices 2

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1316235336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BAYBERRY RD",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503466",
            "telephone_number": "978-255-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803018",
            "telephone_number": "781-245-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.