Active NPI
Karen Donelson, P.T.
- Physical Therapist
- New York, NY
National Provider Identifier
1730240706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008248
- Practice address
- 30 W 60TH St
# 1C
New York, NY 10023-7902 - Phone
- (973) 809-0186
- NPI assigned
- Dec 13, 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 | 008248 | NY | Primary |
Addresses
Primary practice location
30 W 60TH St
# 1C
New York, NY 10023-7902
Mailing address
106 Essex Ave
Montclair, NJ 07042-4104
Phone (973) 809-0186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA01112600 | Other | NJ | PHYSCIAL THERAPIST |
Other names 1
- Ms. Karen Donelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602001690 | NY | Practitioner - Physical Therapist in Private Practice | 6507848611 | Practice locations: New York, NY |
| I20041207000049 | NJ | Practitioner - Physical Therapist in Private Practice | 6507848611 | Practice locations: Verona, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
250 Pompton Ave
Verona, NJ 07044-3020
Phone (973) 809-0186
30 W
1C
New York, NY 10023
Phone (973) 809-0186
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1730240706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ESSEX AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424104",
"telephone_number": "973-809-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W 60TH ST",
"address_2": "# 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237902",
"telephone_number": "973-809-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONELSON",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "008248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSCIAL THERAPIST",
"identifier": "40QA01112600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "DONELSON",
"prefix": "MS.",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.