Active NPI
Karen A Backall, PT
- Specialist
- Pinehurst, NC
National Provider Identifier
1851380463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2199
- 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
- Last updated
- Oct 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2199 | NC | Primary |
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
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2199 | NC | MD | Counselor |
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
Organizations & group practices 1
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.
-
dba Paragon Physical Therapy
- Physical Therapist
- Pinehurst, NC
- NPI 1033968623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1851380463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N RIVER RD",
"city": "BRIDGEWATER",
"state": "VA",
"postal_code": "228121611",
"telephone_number": "540-828-6443",
"fax_number": "540-828-6583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL PARK AVE STE E",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748805",
"telephone_number": "910-215-0541",
"fax_number": "910-215-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKALL",
"first_name": "KAREN",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "2199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.