Active NPI
Karen Fernandez, DPT
- Physical Therapist
- Northbrook, IL
National Provider Identifier
1629519699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022351
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Sapiens Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Northbrook, IL
- NPI 1326589102
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.