Jarrod Paul Karnofski, DPT ATC CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009830 Issued in WA

Practice address

316 1St Ave North
Ocean Beach Physical Therapy
Ilwaco, WA 98624

Phone

(360) 642-8551

Fax

(360) 642-3408

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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.

• Ocean Beach Physical Therapy Inc

  • Physical Therapist
  • Ilwaco, WA
  • NPI 1356423883
  NPD (past)
• Pacific Crest Physical Therapy Inc

  • Physical Therapist
  • Warrenton, OR
  • NPI 1255413787
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831289032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "98624",
            "telephone_number": "360-642-8305",
            "fax_number": "360-642-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 1ST AVE NORTH",
            "address_2": "OCEAN BEACH PHYSICAL THERAPY",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "98624",
            "telephone_number": "360-642-8551",
            "fax_number": "360-642-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNOFSKI",
        "first_name": "JARROD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DPT ATC CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009830",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8433179",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anya Marie Milrod Holmquist, NP
• Chase Honer, DPT
• J Stephen Bell DO PS
• Gary Jacobsen, FNP, ARNP
• Mark R. Kaehler, MD
• William Norris Kay, MD
• Kennewick Radiology Group PC
• Andrew Clifford Lakanen, MS, RDN, LD
• Jaala Langley, RN
• Ivan Pe Law, MD

• All providers in Ilwaco, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.