Active NPI
Karen Pronko
- Physical Therapist
- Pensacola, FL
National Provider Identifier
1477093292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21348
- Practice address
- 4624 N Davis Hwy
Pensacola, FL 32503-2337 - Phone
- (850) 494-0000
- Fax
- (850) 494-0001
- NPI assigned
- Feb 27, 2017
- 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 | 21348 | FL | Primary |
Addresses
Primary practice location
4624 N Davis Hwy
Pensacola, FL 32503-2337
Mailing address
4624 N Davis Hwy
Pensacola, FL 32503-2337
Phone (850) 494-0000
Other practice location 1
10100 Hillview Dr
Pensacola, FL 32514-5436
Phone (850) 378-3374
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@pcofwfla.e-mdsdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Texas Medical Branch at Galveston, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3964 Florida Ave
Jay, FL 32565-1104
Phone (850) 741-6715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21348 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Consultants of West Florida | Current | Accepting new patients |
Locations
4624 N Davis Hwy
Pensacola, FL 32503
Phone 85049400002014
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.
-
- Physical Therapist
- Jay, FL
- NPI 1548861602
-
- Pain Clinic/Center
- Pensacola, FL
- NPI 1508445966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1477093292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032337",
"telephone_number": "850-494-0000",
"fax_number": "850-494-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4624 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032337",
"telephone_number": "850-494-0000",
"fax_number": "850-494-0001"
}
],
"practiceLocations": [
{
"address_1": "10100 Hillview Dr",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325145436",
"country_code": "US",
"telephone_number": "850-378-3374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRONKO",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "21348",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@pcofwfla.e-mdsdirect.com",
"affiliation": "N",
"address_1": "4624 N Davis Hwy",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325032337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.