Individual provider Active NPI

Karen K Wells, P.T.

  • Orthopedic Physical Therapist
  • Crestview Hills, KY
National Provider Identifier
1487659645
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT002633 Issued in KY
Practice address
328 Thomas More Pkwy
Crestview Hills, KY 41017-3488
Phone
(513) 347-9999
Fax
(859) 344-4153
NPI assigned
Jun 15, 2005
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT06901 OH
Orthopedic Physical Therapist 2251X0800X PT002633 KY Primary

Addresses

Primary practice location

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488

Mailing address

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488
Phone (513) 347-9999

Other identifiers 2

IdentifierTypeStateIssuer
2526369MedicaidOH
87001533MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040727000445 OH Practitioner - Physical Therapist in Private Practice 7113997313 Reassigns benefits to 1 organization
I20040727001349 KY Practitioner - Physical Therapist in Private Practice 7113997313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas a & M University System, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488
Phone (513) 347-9999

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 347-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002633KYMDOrthopedic Physical Therapist
PT06901OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Center for Physical Therapy Past Accepting new patients

Locations

328 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-9700

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

10663 Montgomery Rd
Fl 1
Montgomery, OH 45242

12115 Sheraton Ln
Springdale, OH 45246
Phone (513) 346-7292

Interoperability endpoints

  • Direct secure messaging: kwells91032@direct.bsmhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1487659645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "513-347-9999",
            "fax_number": "859-344-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "513-347-9999",
            "fax_number": "859-344-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KAREN",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT06901",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "PT002633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2526369",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87001533",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.

Verify at the official NPI Registry.