Individual provider Active NPI

Karen Macdonald, MSPT

  • Specialist
  • Rock Springs, WY
National Provider Identifier
1841457280
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT-1278 Issued in WY
Practice address
1401 Gateway Blvd
Suite 2
Rock Springs, WY 82901-6786
Phone
(307) 352-3626
Fax
(307) 352-3628
NPI assigned
May 22, 2008
Last updated
Oct 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT1624 ID
Specialist 174400000X PT-1278 WY Primary

Addresses

Primary practice location

1401 Gateway Blvd
Suite 2
Rock Springs, WY 82901-6786

Mailing address

PO Box 2400
Rock Springs, WY 82902-2400
Phone (307) 362-4336

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4777COMDChiropractor
PT1624IDMDSpecialist
PT-1278WYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
River City Physical Therapy PastSince Sep 14, 1995 Accepting new patients
Rocky Mountain Sports Medicine and Rehabilitation LLC Past Accepting new patients
Physical Therapy Center, Inc. Specialist PastSince Feb 1, 2003 Accepting new patients

Organizations & group practices 3

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1841457280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829022400",
            "telephone_number": "307-362-4336",
            "fax_number": "307-362-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GATEWAY BLVD",
            "address_2": "SUITE 2",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016786",
            "telephone_number": "307-352-3626",
            "fax_number": "307-352-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "KAREN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "PT1624",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WY",
            "license": "PT-1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.