Individual provider Active NPI

Karen Lynn Reddick, MPT

  • Physical Therapist
  • Randleman, NC
National Provider Identifier
1356676076
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10463 Issued in NC
Practice address
148 Pointe South Dr
Randleman, NC 27317-9520
Phone
(336) 799-4435
Fax
(336) 799-4057
NPI assigned
Oct 14, 2009
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 10463 NC Primary

Addresses

Primary practice location

148 Pointe South Dr
Randleman, NC 27317-9520

Mailing address

218 Foust St Ste C
Asheboro, NC 27203-5476
Phone (336) 625-8233

Other practice location 1

211 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 476-2520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200205000392 NC Practitioner - Physical Therapist in Private Practice 3375979669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10463NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American Healthcare Systems, LLC Current Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 1, 2021 Accepting new patients
American Healthcare Systems, LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

124 N Park St
Asheboro, NC 27203
Phone (336) 625-1007

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

701 Liberty St
Ramseur, NC 27316
Phone (336) 824-8855

148 Pointe South Dr
Randleman, NC 27317
Phone (336) 799-4435

Interoperability endpoints

  • Direct secure messaging: kreddick692595@direct.novanthealth.org

Organizations & group practices 4

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": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1356676076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FOUST ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035476",
            "telephone_number": "336-625-8233",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 POINTE SOUTH DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179520",
            "telephone_number": "336-799-4435",
            "fax_number": "336-799-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Old Lexington Rd",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273603428",
            "country_code": "US",
            "telephone_number": "336-476-2520",
            "fax_number": "336-472-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randleman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.