Active NPI
Karen Vanetten, DPT
- Physical Therapist
- East Lansing, MI
National Provider Identifier
1467110700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302707
- Practice address
- 4660 S Hagadorn Rd Ste 400
East Lansing, MI 48823-5353 - Phone
- (517) 355-7648
- Fax
- (517) 432-1319
- NPI assigned
- Dec 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501302707 | MI | Primary |
| Physical Therapist | 225100000X | PT37776 | FL |
Addresses
Primary practice location
4660 S Hagadorn Rd Ste 400
East Lansing, MI 48823-5353
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 355-7648
Other names 1
- Karen Elizabeth Thatcher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37776 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc | Current | Accepting new patients | |
| Msu Health Care Inc. | Physical Therapist | Current | Accepting new patients |
Locations
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
4660 S Hagadorn Rd
Ste 400
East Lansing, MI 48823
Phone (517) 355-7648
Interoperability endpoints
- karen.vanetten.1@25394.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1467110700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A109B",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-355-7648",
"fax_number": "517-432-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 S HAGADORN RD STE 400",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235353",
"telephone_number": "517-355-7648",
"fax_number": "517-432-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANETTEN",
"first_name": "KAREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302707",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37776",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "THATCHER",
"middle_name": "ELIZABETH",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.