Active NPI
Karen Marie Fishel, PTA
- Physical Therapy Assistant
- Massillon, OH
National Provider Identifier
1467790147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-1153
- Practice address
- 2311 Nave Rd SE
Massillon, OH 44646-8822 - Phone
- (330) 704-5249
- NPI assigned
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA-1153 | OH | Primary |
Addresses
Primary practice location
2311 Nave Rd SE
Massillon, OH 44646-8822
Mailing address
11122 Lloyd St NW
Canal Fulton, OH 44614-8665
Phone (330) 704-5249
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-1153 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1467790147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11122 LLOYD ST NW",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446148665",
"telephone_number": "330-704-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 NAVE RD SE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446468822",
"telephone_number": "330-704-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHEL",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA-1153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.