Active NPI
Karen Whittaker Lauritzen, M.S. P.T.
- Physical Therapist
- Mercer Island, WA
National Provider Identifier
1346544772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00008199
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5856 | OR | MD | Physical Therapist |
| 00008199 | WA | MD | Physical 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.