Individual provider Active NPI

Karen Renee Hatami, P.T.

  • Physical Therapy Clinic/Center
  • Boulder, CO
National Provider Identifier
1407345705
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3088 Issued in CO
Practice address
3480 Colorado Ave Apt D7
Boulder, CO 80303-1942
Phone
(303) 875-3644
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3088 CO Primary

Addresses

Primary practice location

3480 Colorado Ave Apt D7
Boulder, CO 80303-1942

Mailing address

3480 Colorado Ave Apt D7
Boulder, CO 80303-1942
Phone (303) 875-3644

Other identifiers 3

IdentifierTypeStateIssuer
3088OtherCOPHYSICAL THERAPY
9271OtherCOPHYSICAL THERAPY
3088OtherCOP.T

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

LicenseStateTypeSpecialty
3088COMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1407345705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 COLORADO AVE APT D7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031942",
            "telephone_number": "303-875-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 COLORADO AVE APT D7",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031942",
            "telephone_number": "303-875-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATAMI",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "3088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "3088",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "9271",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T",
            "identifier": "3088",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.