Karen Kay Wells, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003173A Issued in IN

Practice address

719 S Rogers St
Suite B
Bloomington, IN 47403-2332

Phone

(812) 323-4475

Fax

(812) 323-4478

NPI assigned

Aug 19, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1477700714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S ROGERS ST",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032332",
            "telephone_number": "812-323-4475",
            "fax_number": "812-323-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S ROGERS ST",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032332",
            "telephone_number": "812-323-4475",
            "fax_number": "812-323-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KAREN",
        "middle_name": "KAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003173A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200908750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Welch
• Well Rooted Therapy Services LLC
• Benjamin Weller
• Wellnessfirst Chiropractic of Ellettsville LLC
• Hannah Elizabeth Wells, PSY.D.
• Kendra Wells, PHARM. D.
• Taylor Welsh, OD
• Payton Wendelin, RN
• Andrea Wenderoth, RPH
• Wendy Kinsey Corning, M.D., LLC

• Physical Therapist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.