Individual provider Active NPI

Kara Shull, D.P.T

  • Physical Therapist
  • New York, NY
National Provider Identifier
1497002927
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0037363 Issued in NY
Practice address
5 W 103Rd St Apt 3W
New York, NY 10025-4611
Phone
(660) 973-7466
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11440 AZ
Physical Therapist 225100000X 1219861 TX
Physical Therapist 225100000X 0037363 NY Primary

Addresses

Primary practice location

5 W 103Rd St Apt 3W
New York, NY 10025-4611

Mailing address

5 W 103Rd St Apt 3W
New York, NY 10025-4611
Phone (660) 973-7466

Other practice location 1

2629 E Rose Garden Ln
Phoenix, AZ 85050-4605
Phone (480) 449-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11440AZMDPhysical Therapist
0037363NYMDPhysical Therapist
1219861TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1497002927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 103RD ST APT 3W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254611",
            "telephone_number": "660-973-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 103RD ST APT 3W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254611",
            "telephone_number": "660-973-7466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2629 E Rose Garden Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504605",
            "country_code": "US",
            "telephone_number": "480-449-9000",
            "fax_number": "480-449-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULL",
        "first_name": "KARA",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11440",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1219861",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0037363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.