Active NPI
Karina Marie Minarczik, PT
- Geriatric Physical Therapist
- Avon Lake, OH
National Provider Identifier
1497061857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 12867
- Practice address
- 602 Tournament Dr
Avon Lake, OH 44012-2284 - Phone
- (440) 670-9989
- Fax
- (440) 398-0500
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 12867 | OH | Primary |
Addresses
Primary practice location
602 Tournament Dr
Avon Lake, OH 44012-2284
Mailing address
602 Tournament Dr
Avon Lake, OH 44012-2284
Phone (440) 670-9989
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12867 | OH | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vox Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Avon, OH
- NPI 1093956997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1497061857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 TOURNAMENT DR",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122284",
"telephone_number": "440-670-9989",
"fax_number": "440-398-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 TOURNAMENT DR",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122284",
"telephone_number": "440-670-9989",
"fax_number": "440-398-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINARCZIK",
"first_name": "KARINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "OH",
"license": "12867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.