Individual provider Active NPI

Brenna Jennifer Karnish

  • Physical Therapist
  • East Stroudsburg, PA
National Provider Identifier
1720844699
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032057 Issued in PA
Practice address
600 Plaza CT Ste a
East Stroudsburg, PA 18301-8263
Phone
(570) 517-0511
Fax
(570) 517-0257
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 PT032057 PA Primary

Addresses

Primary practice location

600 Plaza CT Ste a
East Stroudsburg, PA 18301-8263

Mailing address

600 Plaza CT Ste a
East Stroudsburg, PA 18301-8263
Phone (570) 517-0511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314002613 PA Practitioner - Physical Therapist in Private Practice 1355787193 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Valley Orthopedics PCGroup PAC ID 6901899111, 20 clinicians

Practice addresses (Care Compare)

600 Plaza CT
Suite C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Pocono Advanced Medical Clinic PC CurrentSince Jan 10, 2026 Accepting new patients
Mountain Valley Orthopedics, P.C. Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

600 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 517-0511

600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Interoperability endpoints

  • Direct secure messaging: brenna.karnish.1@9299.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1720844699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-517-0511",
            "fax_number": "570-517-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-517-0511",
            "fax_number": "570-517-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNISH",
        "first_name": "BRENNA",
        "middle_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.