Individual provider Active NPI

Karen S Shuler, PT, DPT

  • Physical Therapist
  • Clover, SC
National Provider Identifier
1346435948
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5214 Issued in SC
Practice address
4543 Charlotte Hwy
Suite 11
Clover, SC 29710-7073
Phone
(803) 831-1454
Fax
(803) 831-1455
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2460 NC
Physical Therapist 225100000X 5214 SC Primary

Addresses

Primary practice location

4543 Charlotte Hwy
Suite 11
Clover, SC 29710-7073

Mailing address

1023 N Royal St Unit 101
Alexandria, VA 22314-1589
Phone (704) 798-2735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000020 SC Practitioner - Physical Therapist in Private Practice 9032299888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestyle Physical Therapy LLCGroup PAC ID 2961582622, 2 clinicians

Practice addresses (Care Compare)

4543 Charlotte Hwy
Suite 11
Lake Wylie, SC 29710-7057
Phone (803) 831-1454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5214SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Physical Therapy, LLC CurrentSince Jan 2, 2008 Accepting new patients

Locations

4543 Charlotte Hwy
Ste 11
Lake Wylie, SC 29710
Phone (803) 831-1454

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1346435948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N ROYAL ST UNIT 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141589",
            "telephone_number": "704-798-2735",
            "fax_number": "803-831-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 CHARLOTTE HWY",
            "address_2": "SUITE 11",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297107073",
            "telephone_number": "803-831-1454",
            "fax_number": "803-831-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "KAREN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2460",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clover, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.