Active NPI
Karen Janine Hatch, PT
- Physical Therapist
- Godfrey, IL
National Provider Identifier
1609941780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4610 Levis LN
Godfrey, IL 62035-1366 - Phone
- (618) 208-7213
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
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.
-
- Physical Therapist
- Apache Junction, AZ
- NPI 1720022346
NPD (past) PHYSICAL THERAPIST
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 |
|---|---|---|---|
| 070.015753 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5320 | AZ | |
| Physical Therapist | 225100000X | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4610 Levis LN
Godfrey, IL 62035-1366
Mailing address
4610 Levis LN
Godfrey, IL 62035-1366
Phone (618) 208-7213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2008.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1609941780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 LEVIS LN",
"city": "GODFREY",
"state": "IL",
"postal_code": "620351366",
"telephone_number": "618-208-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 LEVIS LN",
"city": "GODFREY",
"state": "IL",
"postal_code": "620351366",
"telephone_number": "618-208-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "KAREN",
"middle_name": "JANINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5320",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Godfrey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.