Individual provider Active NPI

Karen Lorfano Fouche, P.T.

  • Physical Therapist
  • Orange Park, FL
National Provider Identifier
1407994502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4067 Issued in FL
Practice address
550 Wells Rd Ste 4
Brooks Rehabilitation
Orange Park, FL 32073-2950
Phone
(904) 278-7890
Fax
(904) 278-7762
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4067 FL Primary

Addresses

Primary practice location

550 Wells Rd Ste 4
Brooks Rehabilitation
Orange Park, FL 32073-2950

Mailing address

12224 Nobleman Dr
Jacksonville, FL 32223-5541
Phone (904) 260-6059

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
4067FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Rehabilitation Hospital, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407994502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12224 NOBLEMAN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322235541",
            "telephone_number": "904-260-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WELLS RD STE 4",
            "address_2": "BROOKS REHABILITATION",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732950",
            "telephone_number": "904-278-7890",
            "fax_number": "904-278-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCHE",
        "first_name": "KAREN",
        "middle_name": "LORFANO",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "4067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.