Active NPI
Karen Holloway Tanner, PTA
- Physical Therapy Assistant
- Roanoke Rapids, NC
National Provider Identifier
1801020615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2574
- Practice address
- 188 Bishop Rd
Roanoke Rapids, NC 27870-9236 - Phone
- (252) 308-9417
- NPI assigned
- May 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2574 | NC | Primary |
Addresses
Primary practice location
188 Bishop Rd
Roanoke Rapids, NC 27870-9236
Mailing address
188 Bishop Rd
Roanoke Rapids, NC 27870-9236
Phone (252) 308-9417
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2574 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1801020615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 BISHOP RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278709236",
"telephone_number": "252-308-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 BISHOP RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278709236",
"telephone_number": "252-308-9417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "KAREN",
"middle_name": "HOLLOWAY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "2574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke Rapids, NC
- Flaviane Strickland, BEHAVIOR ANALYST
- Supportive Living Concepts, Inc.
- Marqu'E Sutton, LCSWA, LCASA
- Larry Swinton, LCAS-A
- Robert E Sykes Jr., LMFT
- Adrianne Teague, LPC, LCASA
- Chanchamma Thannikkary, M.D.
- The Mental Health Association in North Carolina Inc
- The Mental Health Association in North Carolina, Inc
- The Mental Health Association in North Carolina, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.