Individual provider Active NPI

Karen Wenning Stellick, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1770512352
Registry record updated Aug 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3363 Issued in CO
Practice address
1775 S 8TH St
Colorado Springs, CO 80905-1926
Phone
(719) 477-6870
Fax
(719) 477-1483
NPI assigned
Jul 3, 2006
Last updated
Aug 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2012

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 3363 CO Primary

Addresses

Primary practice location

1775 S 8TH St
Colorado Springs, CO 80905-1926

Mailing address

1775 S 8TH St
Colorado Springs, CO 80905-1926
Phone (719) 477-6870

Other names 1

  • Karen Josephine Wenning Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3363COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Wellness PLLC CurrentSince Mar 5, 2023 Accepting new patients

Locations

1775 S 8th St
Colorado Springs, CO 80905
Phone (719) 477-6870

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344643200000",
    "number": "1770512352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-477-6870",
            "fax_number": "719-477-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051926",
            "telephone_number": "719-477-6870",
            "fax_number": "719-477-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLICK",
        "first_name": "KAREN",
        "middle_name": "WENNING",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "WENNING",
            "middle_name": "JOSEPHINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; 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.