Active NPI
Karen King-Payne, MPT
- Physical Therapist
- Plantation, FL
National Provider Identifier
1356822472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17928
- Practice address
- 6931 W Sunrise Blvd
Plantation, FL 33313-4406 - Phone
- (954) 583-6200
- NPI assigned
- Aug 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17928 | FL | Primary |
Addresses
Primary practice location
6931 W Sunrise Blvd
Plantation, FL 33313-4406
Mailing address
2925 NW 126TH Ave # 1-320
Sunrise, FL 33323-6320
Phone (954) 651-2499
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17928 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1356822472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 NW 126TH AVE # 1-320",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333236320",
"telephone_number": "954-651-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6931 W SUNRISE BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333134406",
"telephone_number": "954-583-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING-PAYNE",
"first_name": "KAREN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT17928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.