Individual provider Active NPI

Karen Marie Desimone, DPT

  • Physical Therapist
  • South Yarmouth, MA
National Provider Identifier
1508956731
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15542 Issued in MA
Practice address
23 Whites Path Ste E
South Yarmouth, MA 02664-1239
Phone
(508) 619-4833
Fax
(508) 619-4835
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15542 MA Primary

Addresses

Primary practice location

23 Whites Path Ste E
South Yarmouth, MA 02664-1239

Mailing address

23 Whites Path Ste E
South Yarmouth, MA 02664-1239
Phone (508) 619-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000682 MA Practitioner - Physical Therapist in Private Practice 3577456730 Reassigns benefits to 1 organization
Practice locations: South Yarmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23 Whites Path
Suite E
South Yarmouth, MA 02664-1239
Phone (508) 619-4833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Desimone, LLC Physical Therapist CurrentSince Mar 23, 2021 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients

Locations

23 Whites Path
Ste E
South Yarmouth, MA 02664
Phone (508) 619-4833

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1508956731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE E",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641239",
            "telephone_number": "508-619-4833",
            "fax_number": "508-619-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE E",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641239",
            "telephone_number": "508-619-4833",
            "fax_number": "508-619-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.