Individual provider Active NPI

Michele Maria Karpenko, PT

  • Physical Therapist
  • Valparaiso, IN
National Provider Identifier
1740311489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002760A Issued in IN
Practice address
3101 Evans Ave
Valparaiso, IN 46383-6939
Phone
(219) 462-0786
Fax
(219) 548-7543
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002760A IN Primary
Physical Therapist 225100000X 210 NE
Physical Therapist 225100000X IL

Addresses

Primary practice location

3101 Evans Ave
Valparaiso, IN 46383-6939

Mailing address

1402 Boca Lago Dr
Valparaiso, IN 46383-4420
Phone (219) 477-5422

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
210NEMDMental Health Counselor
070001517ILMDPhysical Therapist
05002760AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Opportunity Enterprises, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740311489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BOCA LAGO DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834420",
            "telephone_number": "219-477-5422",
            "fax_number": "219-477-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 EVANS AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836939",
            "telephone_number": "219-462-0786",
            "fax_number": "219-548-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARPENKO",
        "first_name": "MICHELE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002760A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "210",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.