Karen Fradkin, PT, DPT

Key facts

NPI

1841745544

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT025484 (PA)

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

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• A Plus Care LLC Physical Therapist · Los Angeles, CA · NPI 1912485707
  Medicare reassignment Care Compare group Authorized official CA · PA
• PT Care LLC Physical Therapist · Philadelphia, PA · NPI 1801279450
  Medicare reassignment NPD PA · PHYSICAL THERAPIST
• A Plus Care Therapy Inc Physical Therapist · Philadelphia, PA · NPI 1104665447
  NPD Authorized official PHYSICAL THERAPIST
• PMR Medical and Diagnostic, PC Physical Medicine & Rehabilitation Physician · Huntingdon Valley, PA · NPI 1811167224
  NPD (past)

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• A Plus Care LLC Physical Therapist · Los Angeles, CA · NPI 1912485707
  CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · CORPORATE DIRECTOR · CORPORATE OFFICER · GENERAL PARTNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Plus Care LLC (10 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in PA, CA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 23, 2022.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT025484",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Playa del Rey, CA · Physical Therapist in California