Active NPI
Karen Fradkin, PT, DPT
- Physical Therapist
- Playa del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025484
- Practice address
- 6308 Vista del Mar Apt a
Playa del Rey, CA 90293-7512 - Phone
- (404) 434-7774
- Fax
- (323) 300-2036
- NPI assigned
- Aug 23, 2016
- Last updated
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT292931 | CA | |
| Physical Therapist | 225100000X | PT025484 | PA | Primary |
Addresses
Primary practice location
6308 Vista del Mar Apt a
Playa del Rey, CA 90293-7512
Mailing address
6308 Vista del Mar Apt a
Playa del Rey, CA 90293-7512
Phone (404) 434-7774
Other practice location 1
340 Hauser Blvd
Apt 308
Los Angeles, CA 90036-5638
Phone (267) 255-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
808 Cates Way
Philadelphia, PA 19115-4120
Phone (323) 918-5505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292931 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Care Therapy Inc | Physical Therapist | Current | Accepting new patients |
| PT Care LLC | Physical Therapist | Current | Accepting new patients |
| PMR Medical and Diagnostic, PC | Past | Accepting new patients |
Locations
12100 Wilshire Blvd
Ste 800
Los Angeles, CA 90025
Phone (310) 383-6610
10050 Roosevelt Blvd
Unit 11
Philadelphia, PA 19116
Phone (215) 437-9009
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| A Plus Care LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer Corporate Director Operational/Managerial Control |
Jul 30, 2018 Jul 30, 2019 Jul 30, 2018 Jul 30, 2018 Jul 30, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1912485707
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, General Partnership Interest, Operational/Managerial Control
Organizations & group practices 4
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1801279450
-
- Physical Therapist
- Philadelphia, PA
- NPI 1104665447
-
- Physical Medicine & Rehabilitation Physician
- Huntingdon Valley, PA
- NPI 1811167224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1841745544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 VISTA DEL MAR APT A",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937512",
"telephone_number": "404-434-7774",
"fax_number": "323-300-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 VISTA DEL MAR APT A",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937512",
"telephone_number": "404-434-7774",
"fax_number": "323-300-2036"
}
],
"practiceLocations": [
{
"address_1": "340 HAUSER BLVD",
"address_2": "APT 308",
"address_purpose": "LOCATION",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900365638",
"country_code": "US",
"telephone_number": "267-255-1328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRADKIN",
"first_name": "KAREN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292931",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.