Individual provider Active NPI

Karen Phillips, MSPT

  • Physical Therapist
  • Clifton Park, NY
National Provider Identifier
1588094734
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NY016488 Issued in NY
Practice address
515 Moe Rd
Clifton Park, NY 12065-3821
Phone
(518) 280-4294
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NY016488 NY Primary
Physical Therapist 225100000X 2305208432 VA

Addresses

Primary practice location

515 Moe Rd
Clifton Park, NY 12065-3821

Mailing address

16 Sandalwood Dr
Clifton Park, NY 12065-2700
Phone (307) 399-0577

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

LicenseStateTypeSpecialty
NY016488NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Therapy Group PT OT SLP and Psychology Services PLLC Physical Therapist CurrentSince Jul 25, 2021 Accepting new patients
PT Plus at Stuarts Draft, LLC Physical Therapist Past Accepting new patients

Locations

515 Moe Rd
Clifton Park, NY 12065
Phone (518) 280-4294

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": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1588094734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SANDALWOOD DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652700",
            "telephone_number": "307-399-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653821",
            "telephone_number": "518-280-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "NY016488",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.