Karen Marie Fields, PTA
Individual provider Active NPI Physical Therapy Assistant · Wading River, NY
NPI 1477835775 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1477835775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001032-1 (NY)
- Practice address
- 192 Deer Run
Wading River, NY 11792-1701 - Phone
- (631) 886-1454
- NPI assigned
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001032-1 | NY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001032-1 | NY | Yes |
Addresses
Primary practice location
192 Deer Run
Wading River, NY 11792-1701
Mailing address
192 Deer Run
Wading River, NY 11792-1701
Phone (631) 886-1454
Other providers in Wading River, NY
- Donna M Erickson
- Kyle Raymond Eskridge
- Debbie Lou Falborn
- Family Care Medical Center
- Christopher F Favazza
- Kayla M Findley
- Patricia Ann Fitzpatrick
- James Franks
- Alexandra Franzi
- Freed, Scherz, Kleinberg, Nussbaum, Festa, M.D. LLP
All providers in Wading River, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.