Karyn Angulo
Individual provider Active NPI Physical Therapist · Mesa, AZ
NPI 1487764130 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487764130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3803 (AZ)
- Practice address
- 1255 W Baseline Rd
Suite 140
Mesa, AZ 85202-5820 - Phone
- (480) 820-7675
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3803 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3803 | AZ | Yes |
Addresses
Primary practice location
1255 W Baseline Rd
Suite 140
Mesa, AZ 85202-5820
Mailing address
8114 S Taylor Dr
Tempe, AZ 85284-1738
Phone (480) 491-5571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3803 | Other | AZ | LICENSE # |
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.