Individual provider Active NPI

Karin Gauen, DPT

  • Physical Therapist
  • O Fallon, MO
National Provider Identifier
1790239895
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2016027645 Issued in MO
Practice address
1101 Highway K
O Fallon, MO 63366-8431
Phone
(636) 379-6380
Fax
(636) 379-6381
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 2016027645 MO
Physical Therapist 225100000X 2016027645 MO Primary

Addresses

Primary practice location

1101 Highway K
O Fallon, MO 63366-8431

Mailing address

1101 Highway K
O Fallon, MO 63366-8431
Phone (636) 379-6380

Other names 1

  • Karin Derigne Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001881 MO Practitioner - Physical Therapist in Private Practice 6204223381 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016027645MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2022 Accepting new patients
Choice Rehabilitation LLC Physical Therapist CurrentSince Oct 5, 2024 Accepting new patients

Locations

12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000

231 S Bemiston Ave
Ste 800
Saint Louis, MO 63105
Phone (214) 814-0994

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1790239895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633668431",
            "telephone_number": "636-379-6380",
            "fax_number": "636-379-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633668431",
            "telephone_number": "636-379-6380",
            "fax_number": "636-379-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUEN",
        "first_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MO",
            "license": "2016027645",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016027645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "DERIGNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.