Karl A Bourne Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38647 Issued in FL

Practice address

17601 NW 2ND Ave Ste S
Miami, FL 33169-5001

Phone

(305) 770-4500

NPI assigned

May 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Physical Therapy IncGroup PAC ID 9234450016, 15 clinicians

Orthopedic Rehabilitation Specialists, Inc.Group PAC ID 0840227955, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Physical Therapy Inc.

  • Physical Therapist
  • Miami, FL
  • NPI 1801209002
  Medicare reassignment Care Compare group NPD
• Orthopedic Rehabilitation Specialists, Inc.

  • Physical Therapist
  • Miami, FL
  • NPI 1124100557
  Medicare reassignment Care Compare group NPD
• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1730826769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22901 SW 88TH PL UNIT 101",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331902031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 NW 2ND AVE STE S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695001",
            "telephone_number": "305-770-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "KARL",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "38647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Bouquette, DPT
• Lisa Sammie Bour, MA
• Alexandros Bouras, MD
• Natalie Danielle Bourcier
• Lauren Bourn, COTA
• Kristina Samone Bourne
• Valerie Bourraine, SLP
• Yadira Bourzac Torres
• Camila Bourzac
• Orlando Bourzac, A.R.N.P.

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.