Individual provider Active NPI

Karen June Philhower, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1336257104
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15223 Issued in FL
Practice address
2920 University Pkwy
Sarasota, FL 34243-2412
Phone
(941) 351-2555
Fax
(941) 359-8657
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT15223 FL Primary

Addresses

Primary practice location

2920 University Pkwy
Sarasota, FL 34243-2412

Mailing address

2920 University Pkwy
Sarasota, FL 34243-2412
Phone (941) 351-2555

Other identifiers 3

IdentifierTypeStateIssuer
2735464OtherFLAETNA HMO
7177238OtherFLAETNA PPO
Y0618OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000692 FL Practitioner - Physical Therapist in Private Practice 4486606795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15223FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Wellness Center,Inc Physical Therapist CurrentSince Jan 3, 2005 Accepting new patients

Locations

2920 University Pkwy
Sarasota, FL 34243
Phone (941) 351-2555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336257104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432412",
            "telephone_number": "941-351-2555",
            "fax_number": "941-359-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 UNIVERSITY PKWY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432412",
            "telephone_number": "941-351-2555",
            "fax_number": "941-359-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILHOWER",
        "first_name": "KAREN",
        "middle_name": "JUNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2735464",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7177238",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0618",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.