Active NPI
Karen Martin Summers, PT, DPT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1669488656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 674
- Practice address
- 923 Matthew Ave NW
Albuquerque, NM 87107-1145 - Phone
- (505) 362-0300
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 674 | NM | Primary |
Addresses
Primary practice location
923 Matthew Ave NW
Albuquerque, NM 87107-1145
Mailing address
923 Matthew Ave NW
Albuquerque, NM 87107-1145
Phone (505) 255-3726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000K0101 | Medicaid | NM |
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 |
|---|---|---|---|
| 674 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1669488656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 MATTHEW AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071145",
"telephone_number": "505-255-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 MATTHEW AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071145",
"telephone_number": "505-362-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "KAREN",
"middle_name": "MARTIN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000K0101",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.