Individual provider Active NPI

Karen Anne Stephens, PT

  • Physical Therapist
  • Chuluota, FL
National Provider Identifier
1851304653
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17642 Issued in FL
Practice address
117 Festive CT
Chuluota, FL 32766-6042
Phone
(407) 697-9419
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17642 FL Primary

Addresses

Primary practice location

117 Festive CT
Chuluota, FL 32766-6042

Mailing address

117 Festive CT
Chuluota, FL 32766-6042
Phone (407) 697-9419

Other practice location 1

3535 Fishinger Blvd
Suite 120
Hilliard, OH 43026-7504
Phone (614) 529-6654

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT17642FLMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1851304653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FESTIVE CT",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327666042",
            "telephone_number": "407-697-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FESTIVE CT",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327666042",
            "telephone_number": "407-697-9419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Fishinger Blvd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267504",
            "country_code": "US",
            "telephone_number": "614-529-6654",
            "fax_number": "614-529-6041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chuluota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.