Individual provider Active NPI

Karen L Takashima, PT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1740455575
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
OHPT-0890 Issued in OH
Practice address
4041 N High St
Suite 203-D
Columbus, OH 43214-3247
Phone
(614) 314-5773
Fax
(614) 636-4582
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 22 5100000X OH
Physical Therapist 225100000X OHPT-0890 OH Primary

Addresses

Primary practice location

4041 N High St
Suite 203-D
Columbus, OH 43214-3247

Mailing address

4041 N High St
Suite 203-D
Columbus, OH 43214-3247
Phone (614) 314-5773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421000271 OH Practitioner - Physical Therapist in Private Practice 7618295726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3805 N High St
Suite 200
Columbus, OH 43214-3539
Phone (614) 314-5773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 22 5100000XOHMDSpecialist
OHPT-0890OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One to One Physical Therapy and Pilates Fitness LLC CurrentSince May 3, 2016 Accepting new patients
One to One Physical Therapy and Pilates Fitness LLC Current Accepting new patients

Locations

4041 N High St
Ste 203D
Columbus, OH 43214
Phone (614) 314-5773

3805 N High St
Ste 200
Columbus, OH 43214
Phone (614) 314-5773

Organizations & group practices 2

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1740455575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST",
            "address_2": "SUITE 203-D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143247",
            "telephone_number": "614-314-5773",
            "fax_number": "614-636-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST",
            "address_2": "SUITE 203-D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143247",
            "telephone_number": "614-314-5773",
            "fax_number": "614-636-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKASHIMA",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "PT 22 5100000X",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "OHPT-0890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.