Active NPI
Karen L Connor, PT
- Physical Therapist
- Westlake, OH
National Provider Identifier
1689630360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011062
- Practice address
- 24700 Center Ridge Rd Ste 300
Westlake, OH 44145-5606 - Phone
- (216) 200-6978
- NPI assigned
- Apr 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11062 | OH | |
| Physical Therapist | 225100000X | PT011062 | OH | Primary |
Addresses
Primary practice location
24700 Center Ridge Rd Ste 300
Westlake, OH 44145-5606
Mailing address
2210 Woodward Ave
Lakewood, OH 44107-5735
Phone (216) 200-6978
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000359891 | Other | ANTHEM BCBS | |
| 341490517044 | Other | OH | CARESOURCE |
| 654140 | Other | OH | AETNA |
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 |
|---|---|---|---|
| PT011062 | OH | MD | Physical Therapist |
| 11062 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaworski Physical Therapy Inc | Past | Accepting new patients | |
| Jaworski Physical Therapy Inc | Past | Accepting new patients |
Interoperability endpoints
- kconnor39128@ehrdirect.uhhospitals.org
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Elyria, OH
- NPI 1477754588
-
- Rehabilitation Practitioner
- Elyria, OH
- NPI 1861458549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1689630360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 WOODWARD AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441075735",
"telephone_number": "216-200-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24700 CENTER RIDGE RD STE 300",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455606",
"telephone_number": "216-200-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "KAREN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-22",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "11062",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT011062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000359891",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341490517044",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "654140",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.