Karen A Backall, PT
Individual provider Active NPI Specialist · Pinehurst, NC
NPI 1851380463 · NPPES record last updated Oct 31, 2007
Key facts
- NPI
- 1851380463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 2199 (NC)
- Practice address
- 111 Central Park Ave Ste E
Pinehurst, NC 28374-8805 - Phone
- (910) 215-0541
- Fax
- (910) 215-9886
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2199 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HBC Paragon Physical Therapy LLC | Current |
Accepting new patients |
Locations
211 Central Park Ave
#L
Pinehurst, NC 28374
Phone (910) 210-0541
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2199 | NC | Yes |
Addresses
Primary practice location
111 Central Park Ave Ste E
Pinehurst, NC 28374-8805
Mailing address
112 N River Rd
Bridgewater, VA 22812-1611
Phone (540) 828-6443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0775N | Other | NC | ANTHEM PROVIDER NUMBER |
Other providers in Pinehurst, NC
- Autism Therapeutic Services
- Emily Lance Averbook
- Elena M Avila
- Berry Dewayne Aycock
- Kimber Leigh Aycock
- Don Robert Bahner Jr.
- Mary Beth Bailar-Heath
- Ka'Swanna Baker
- Porsha Nichole Baker
- Samuel Balbin
All providers in Pinehurst, NC · Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.