Karen Hancock, MPT

Individual provider Active NPI Sports Physical Therapist · Holden, MA

NPI 1568506830 · NPPES record last updated Aug 28, 2011

Key facts

NPI
1568506830
Entity type
Individual (NPI type 1)
Primary specialty
Sports Physical Therapist 2251S0007X
Practice address
1213 Main St
Holden, MA 01520-1017
Phone
(508) 864-5626
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1213 Main St
Holden, MA 01520-1017
Phone (508) 864-5626

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090130000614 MA Practitioner - Physical Therapist in Private Practice 4486750213 Practice locations: Holden, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Loudoun Physical Therapy, Inc. Past
since Oct 1, 1998
Accepting new patients
Physical Therapy Innovations, Inc Sports Past
since Apr 17, 2002
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X Yes

Addresses

Primary practice location

1213 Main St
Holden, MA 01520-1017

Mailing address

1213 Main St
Holden, MA 01520-1017
Phone (508) 864-5626

Other providers in Holden, MA

All providers in Holden, MA · Sports Physical Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.