Individual provider Active NPI

Karen Traugh, DPT

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1689986481
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35473 Issued in FL
Practice address
26437 Lucky Stone Rd Unit 202
Bonita Springs, FL 34135-5077
Phone
(614) 813-3720
Fax
(614) 618-3869
NPI assigned
Jul 8, 2010
Reactivated
Oct 28, 2021
Last updated
Oct 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT35473 FL Primary

Addresses

Primary practice location

26437 Lucky Stone Rd Unit 202
Bonita Springs, FL 34135-5077

Mailing address

26437 Lucky Stone Rd Unit 202
Bonita Springs, FL 34135-5077
Phone (614) 813-3720

Other names 1

  • Karen Traugh Perreira Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304002035 FL Practitioner - Physical Therapist in Private Practice 5496182495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7165 Treeline Dr
Naples, FL 34119-6787
Phone (614) 813-3720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabgurus Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

7165 Treeline Dr
Naples, FL 34119
Phone (614) 813-3720

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1689986481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26437 LUCKY STONE RD UNIT 202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355077",
            "telephone_number": "614-813-3720",
            "fax_number": "614-618-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26437 LUCKY STONE RD UNIT 202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355077",
            "telephone_number": "614-813-3720",
            "fax_number": "614-618-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUGH",
        "first_name": "KAREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-29",
        "deactivation_date": "2021-08-30",
        "reactivation_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PERREIRA",
            "middle_name": "TRAUGH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.