Individual provider Active NPI

Karin Lynn Gorman, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1720216195
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8531PT Issued in AZ
Practice address
1238 E Chandler Blvd Ste 103
Phoenix, AZ 85048-4601
Phone
(480) 704-5954
Fax
(480) 704-5807
NPI assigned
Jun 24, 2009
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 8531PT AZ Primary

Addresses

Primary practice location

1238 E Chandler Blvd Ste 103
Phoenix, AZ 85048-4601

Mailing address

1238 E Chandler Blvd Ste 103
Phoenix, AZ 85048-4601
Phone (480) 704-5954

Other names 1

  • Karin Lynn Krieger Former name

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
8531PTAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Pediatric Therapy, Inc. Past Accepting new patients

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1720216195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 E CHANDLER BLVD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484601",
            "telephone_number": "480-704-5954",
            "fax_number": "480-704-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 E CHANDLER BLVD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850484601",
            "telephone_number": "480-704-5954",
            "fax_number": "480-704-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "KARIN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8531PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "KRIEGER",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.