Individual provider Active NPI

Karen Fradkin, PT, DPT

  • Physical Therapist
  • Playa del Rey, CA
National Provider Identifier
1841745544
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025484 Issued in 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
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161006000298 PA Practitioner - Physical Therapist in Private Practice 0345538310 Reassigns benefits to 2 organizations
I20200514002359 CA Practitioner - Physical Therapist in Private Practice 0345538310 Reassigns benefits to 1 organization

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
A Plus Care LLCGroup PAC ID 1850722430, 10 clinicians

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

LicenseStateTypeSpecialty
PT292931CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Care Therapy Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients
PT Care LLC Physical Therapist CurrentSince Mar 2, 2021 Accepting new patients
PMR Medical and Diagnostic, PC PastSince Aug 3, 2016 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.

FacilityTypeRoleSince
A Plus Care LLCLos Angeles, CA, CCN 559777 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.

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.

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

Verify at the official NPI Registry.