Individual provider Active NPI

Karyn R Kurth, PT

  • Physical Therapist
  • Mount Juliet, TN
National Provider Identifier
1619905361
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1423 Issued in TN
Practice address
368 Quarry Loop Rd
Mt Juliet, TN 37122-7206
Phone
(615) 443-4445
NPI assigned
Jun 30, 2006
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 1423 TN Primary

Addresses

Primary practice location

368 Quarry Loop Rd
Mt Juliet, TN 37122-7206

Mailing address

526 Chelsea LN
Lebanon, TN 37090-6405
Phone (615) 453-0500

Other practice location 1

6650 Eastgate Blvd
Suite 101
Lebanon, TN 37090-6017
Phone (615) 443-4445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006001614 TN Practitioner - Physical Therapist in Private Practice 0840676318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1423TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stellartherapy Services, LLC Physical Therapist CurrentSince Sep 30, 2022 Accepting new patients
Lebanon Special School District Past Accepting new patients
Dynamic Therapy Center, LLC Physical Therapist Past Accepting new patients

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, 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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1619905361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 CHELSEA LN",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370906405",
            "telephone_number": "615-453-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 QUARRY LOOP RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371227206",
            "telephone_number": "615-443-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6650 Eastgate Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370906017",
            "country_code": "US",
            "telephone_number": "615-443-4445",
            "fax_number": "615-443-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTH",
        "first_name": "KARYN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.