Active NPI
Karie I Wilson, PT, DPT
- Physical Therapist
- Avondale, AZ
National Provider Identifier
1659719540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10321
- Practice address
- 10320 W McDowell Rd
Suite N1447
Avondale, AZ 85392-4863 - Phone
- (623) 907-4400
- Fax
- (623) 907-4610
- NPI assigned
- Jun 12, 2013
- Last updated
- Jun 12, 2013
- 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 | 10321 | AZ | Primary |
Addresses
Primary practice location
10320 W McDowell Rd
Suite N1447
Avondale, AZ 85392-4863
Mailing address
3050 N Litchfield Rd
Suite 100
Goodyear, AZ 85395-7804
Phone (623) 935-0626
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10321 | AZ | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1659719540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 N LITCHFIELD RD",
"address_2": "SUITE 100",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853957804",
"telephone_number": "623-935-0626",
"fax_number": "623-935-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 W MCDOWELL RD",
"address_2": "SUITE N1447",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924863",
"telephone_number": "623-907-4400",
"fax_number": "623-907-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KARIE",
"middle_name": "I",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.