Karen Pettine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4455 E Camelback Rd
Suite D-155
Phoenix, AZ 85018-2843

Phone

(602) 808-8989

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Albuquerque Scoliosis Studio LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1013747401
  Medicare reassignment NPD Authorized official
• Forte - Phoenix, PLLC

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1255860342

  Physical Therapist

  NPD
• Scoliosis Abq LLC

  • Orthopedic Physical Therapist
  • Albuquerque, NM
  • NPI 1144797432
  NPD
• Az Speech Therapy Solutions LLC

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1710443874

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1821545138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST STE A115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585036",
            "telephone_number": "505-933-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E CAMELBACK RD",
            "address_2": "SUITE D-155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182843",
            "telephone_number": "602-808-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINE",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Pettengill, DPM
• Anniken Pettersen, PSYD
• Therese Pettersen
• Matthew Petticrew
• Damon C Pettigrew
• Cassie Lynn Pettit, FNP-C
• Karen Sue Pettit, CRNFA
• Deborah L. Pettitt, M.C.,L.P.T.,R.P.T.S
• Adam J Petty, LAC
• Azanean J Petty, LMSW

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.