Individual provider Active NPI

Karmen Chapin, DPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1356930663
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23522 Issued in NC
Practice address
7532 Wilkins Dr
Fayetteville, NC 28311-9338
Phone
(910) 868-6000
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 P23522 NC Primary
Physical Therapist 225100000X 25297 MA

Addresses

Primary practice location

7532 Wilkins Dr
Fayetteville, NC 28311-9338

Mailing address

2069 Course Lane
Surf City, NC 28445
Phone (760) 583-0826

Other practice location 1

303 Wyman St Ste 300
Waltham, MA 02451-1255
Phone (877) 407-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210128002560 MA Practitioner - Physical Therapist in Private Practice 9032523287 Reassigns benefits to 1 organization
I20250325000340 NC Practitioner - Physical Therapist in Private Practice 9032523287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidal Therapy Solutions LLCGroup PAC ID 6800337718, 3 clinicians

Practice addresses (Care Compare)

Holly Ridge, NC 28445
Phone (910) 541-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25297MAMDPhysical Therapist
P23522NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Tidal Therapy Solutions LLC Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Move With Me Physical Therapy, LLC PastSince Sep 29, 2024 Accepting new patients

Locations

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

2761 NC Highway 210 E
Ste G
Hampstead, NC 28443
Phone (775) 481-7908

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 3

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1356930663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 COURSE LANE",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "28445",
            "telephone_number": "760-583-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 WILKINS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119338",
            "telephone_number": "910-868-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Wyman St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511255",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "KARMEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23522",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.