Individual provider Active NPI

Karen S Jones, PT

  • Physical Therapist
  • Fernandina Beach, FL
National Provider Identifier
1669419974
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38981 Issued in FL
Practice address
1897 Island Walk Way Ste 5
Fernandina Beach, FL 32034-1949
Phone
(904) 261-4664
Fax
(904) 261-5852
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

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

LicenseStateTypeSpecialty
PT38981FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Nov 5, 2023 Accepting new patients
Core Performance Physical Therapy PLLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Seco Occupational Therapy PC Past Accepting new patients
D M Abdoo Physical Therapy PC Physical Therapist PastSince Jan 5, 2011 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Nov 5, 2023 Accepting new patients

Locations

1897 Island Walk Way
Ste 5
Fernandina Beach, FL 32034
Phone (904) 261-4664

33 Central Plz
Ilion, NY 13357
Phone (315) 895-4016

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018254 NY
Physical Therapist 225100000X PT38981 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1897 Island Walk Way Ste 5
Fernandina Beach, FL 32034-1949

Mailing address

1897 Island Walk Way Ste 5
Fernandina Beach, FL 32034-1949
Phone (904) 261-4664

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02412146MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2023.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1669419974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 ISLAND WALK WAY STE 5",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341949",
            "telephone_number": "904-261-4664",
            "fax_number": "904-261-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 ISLAND WALK WAY STE 5",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341949",
            "telephone_number": "904-261-4664",
            "fax_number": "904-261-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018254",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02412146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.