Individual provider Active NPI

Karen Whittaker Lauritzen, M.S. P.T.

  • Physical Therapist
  • Mercer Island, WA
National Provider Identifier
1346544772
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00008199 Issued in WA
Practice address
4160 86TH Ave SE
Mercer Island, WA 98040-4121
Phone
(732) 552-9422
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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 5856 OR
Physical Therapist 225100000X 00008199 WA Primary

Addresses

Primary practice location

4160 86TH Ave SE
Mercer Island, WA 98040-4121

Mailing address

4638 193Rd PL SE
Issaquah, WA 98027-9310
Phone (732) 552-9422

Other practice location 1

5868 Suncreek Dr
Lake Oswego, OR 97035-8778
Phone (503) 747-6614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5856ORMDPhysical Therapist
00008199WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1346544772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 193RD PL SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279310",
            "telephone_number": "732-552-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 86TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404121",
            "telephone_number": "732-552-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5868 Suncreek Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970358778",
            "country_code": "US",
            "telephone_number": "503-747-6614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURITZEN",
        "first_name": "KAREN",
        "middle_name": "WHITTAKER",
        "credential": "M.S. P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5856",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00008199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.