Active NPI
Karen Roos, PHD, MSPT, ATC
- Athletic Trainer
- Long Beach, CA
National Provider Identifier
1639180540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1250 Bellflower Blvd
HHS2-205
Long Beach, CA 90840 - Phone
- (949) 307-6101
- NPI assigned
- Aug 10, 2006
- Last updated
- Feb 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29371 | CA | |
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1250 Bellflower Blvd
HHS2-205
Long Beach, CA 90840
Mailing address
1250 Bellflower Blvd
HHS2-205
Long Beach, CA 90840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0-0-0 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karen.roos@csulb.edu |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29371 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612569600000",
"number": "1639180540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 BELLFLOWER BLVD",
"address_2": "HHS2-205",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 BELLFLOWER BLVD",
"address_2": "HHS2-205",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90840",
"telephone_number": "949-307-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOS",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PHD, MSPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2021-02-06",
"certification_date": "2021-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29371",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0-0-0",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "karen.roos@csulb.edu",
"affiliation": "N",
"address_1": "7701 Warner Ave Apt S256",
"city": "Huntington Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926474715",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Long Beach, CA
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- Ronald Xavier Dental Corp (Long Beach Dental)
- Ronnies House (R.E.a.C.H. Lab)
- Domonique Hualani Rood
- Roots Addiction & Psychiatry Medical Group, PC
- Roots Addiction and Psychiatry Medical Group, PC
- Roots Psychological Group, PC
- Roots TMS, LLC
- Roots, Inc. (Roots through Recovery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.