Active NPI
Karen Ivey
- Physical Therapist
- Fountain Hills, AZ
National Provider Identifier
1366950313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10472
- Practice address
- 16455 E Avenue of the Fountains
Fountain Hills, AZ 85268-8307 - Phone
- (480) 816-5805
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 10472 | AZ | Primary |
Addresses
Primary practice location
16455 E Avenue of the Fountains
Fountain Hills, AZ 85268-8307
Mailing address
4222 E McLellan Cir Unit 18
Mesa, AZ 85205-3119
Phone (602) 617-9346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201208001416 | AZ | Practitioner - Physical Therapist in Private Practice | 9335551811 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10472 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1366950313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 E MCLELLAN CIR UNIT 18",
"city": "MESA",
"state": "AZ",
"postal_code": "852053119",
"telephone_number": "602-617-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 E AVENUE OF THE FOUNTAINS",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852688307",
"telephone_number": "480-816-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "KAREN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.