Individual provider Active NPI

Karen Georgette Brownault, DPT

  • Physical Therapist
  • Graham, WA
National Provider Identifier
1619695939
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015044A Issued in IN
Practice address
10141 224TH St E
Graham, WA 98338-9190
Phone
(253) 446-6982
Fax
(253) 904-8184
NPI assigned
Aug 22, 2022
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 PT61296468 WA
Physical Therapist 225100000X 05015044A IN Primary

Addresses

Primary practice location

10141 224TH St E
Graham, WA 98338-9190

Mailing address

6050 Tacoma Mall Blvd Ste 300
Tacoma, WA 98409-6828

Other names 1

  • Karen Ault Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230622000342 IN Practitioner - Physical Therapist in Private Practice 0345626446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RS Physical Therapy CoGroup PAC ID 2668803107, 3 clinicians

Practice addresses (Care Compare)

3710 Franklin St
Michigan City, IN 46360-7311
Phone (219) 561-0828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Jun 1, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jun 1, 2023 Accepting new patients
RS Physical Therapy Co Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Jan 26, 2020 Accepting new patients

Locations

3316 E Market St
Logansport, IN 46947
Phone (574) 601-3100

3710 Franklin St
Michigan City, IN 46360
Phone (219) 561-0828

1110 W Broadway St
Ste D
Monticello, IN 47960
Phone (574) 583-9950

5959 US Highway 6
Portage, IN 46368
Phone (219) 265-3188

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1619695939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 TACOMA MALL BLVD STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 224TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983389190",
            "telephone_number": "253-446-6982",
            "fax_number": "253-904-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNAULT",
        "first_name": "KAREN",
        "middle_name": "GEORGETTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61296468",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015044A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "AULT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.