Individual provider Active NPI

Karen Trackman, MSPT

  • Pediatric Physical Therapist
  • Bethesda, MD
National Provider Identifier
1447656061
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
20238 Issued in MD
Practice address
4500 S Chelsea LN
Bethesda, MD 20814-4759
Phone
(301) 312-8553
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 20238 MD Primary
Pediatric Physical Therapist 2251P0200X PT870110 DC

Addresses

Primary practice location

4500 S Chelsea LN
Bethesda, MD 20814-4759

Mailing address

4500 S Chelsea LN
Bethesda, MD 20814-4759
Phone (301) 312-8553

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
PT870110DCMDPediatric Physical Therapist
20238MDMDPediatric Physical Therapist

Interoperability endpoints

  • Direct secure messaging: karen.trackman.p1@direct.mcg-hhs.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1447656061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S CHELSEA LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144759",
            "telephone_number": "301-312-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S CHELSEA LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144759",
            "telephone_number": "301-312-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACKMAN",
        "first_name": "KAREN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "20238",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DC",
            "license": "PT870110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.