Individual provider Active NPI

Karen Fernandez, DPT

  • Physical Therapist
  • Northbrook, IL
National Provider Identifier
1629519699
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022351 Issued in IL
Practice address
1942 Raymond Dr
Northbrook, IL 60062-6715
Phone
(630) 447-9746
Fax
(630) 385-0124
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 070022351 IL Primary

Addresses

Primary practice location

1942 Raymond Dr
Northbrook, IL 60062-6715

Mailing address

1942 Raymond Dr
Northbrook, IL 60062-6715
Phone (630) 447-9746

Other practice location 1

1170 E Belvidere Rd Ste 109
Grayslake, IL 60030-2034
Phone (847) 543-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305000018 IL Practitioner - Physical Therapist in Private Practice 5799046967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Sapiens Physical Therapy LLCGroup PAC ID 2163780073, 3 clinicians

Practice addresses (Care Compare)

1942 Raymond Dr
Northbrook, IL 60062-6715
Phone (630) 447-9746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Sapiens Physical Therapy LLC Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients

Locations

1885 Holste Rd
Northbrook, IL 60062

1942 Raymond Dr
Northbrook, IL 60062
Phone (630) 447-9746

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.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1629519699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626715",
            "telephone_number": "630-447-9746",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 RAYMOND DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626715",
            "telephone_number": "630-447-9746",
            "fax_number": "630-385-0124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 E Belvidere Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302034",
            "country_code": "US",
            "telephone_number": "847-543-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KAREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.