Karen M Hynning, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160039445 Issued in WA

Practice address

1070 N 1St Ave
Ridgefield, WA 98642-8358

Phone

(360) 887-0837

Fax

(360) 887-0837

NPI assigned

Apr 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Karen M Kondro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1649414715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N 1ST AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986428358",
            "telephone_number": "360-887-0837",
            "fax_number": "360-887-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N 1ST AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986428358",
            "telephone_number": "360-887-0837",
            "fax_number": "360-887-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNNING",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160039445",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KONDRO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maryjane Holland, M.S., SLP-CCC
• Karissa Homola
• Heidi Ann Howe, MSW, SWICL
• Sarah Anne Huddleston, RDH
• Lori Lynn Hughes, RDN, CDN
• Patrice Alana Jacob, PH.D.
• Jennifer Laura Johnson, PTA
• Tanna K Johnson, LMT
• Judith Kay Johnston, DH
• Joint Ventures Therapeutics, PC

• All providers in Ridgefield, WA
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.