Active NPI
Karen Lynne Tenuta, BS,PT
- Physical Therapist
- Kenosha, WI
National Provider Identifier
1407959711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3540-024
- Practice address
- 7201 Green Bay Rd
Kenosha, WI 53142-3532 - Phone
- (262) 694-3977
- Fax
- (262) 694-5648
- NPI assigned
- Sep 6, 2006
- 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 | 3540-024 | WI | Primary |
Addresses
Primary practice location
7201 Green Bay Rd
Kenosha, WI 53142-3532
Mailing address
7201 Green Bay Rd
Kenosha, WI 53142-3532
Phone (262) 694-3977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40190200 | Medicaid | WI | |
| P00338565 | Other | WI | RAILROAD MEDICARE NUMBER |
Other names 1
- Miss Karen Lynne Hould
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)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3540-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy & Rehab Specialists, S.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Kenosha, WI
- NPI 1326150624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1407959711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423532",
"telephone_number": "262-694-3977",
"fax_number": "262-694-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 GREEN BAY RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423532",
"telephone_number": "262-694-3977",
"fax_number": "262-694-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENUTA",
"first_name": "KAREN",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "BS,PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3540-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40190200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00338565",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "HOULD",
"middle_name": "LYNNE",
"prefix": "MISS",
"credential": "BS,PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.