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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2199NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
HBC Paragon Physical Therapy LLC Current
since May 19, 2024
Accepting new patients

Locations

211 Central Park Ave
#L
Pinehurst, NC 28374
Phone (910) 210-0541

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0775NOtherNCANTHEM PROVIDER NUMBER

Other providers in Pinehurst, NC

All providers in Pinehurst, NC · Specialist in North Carolina

Sources for this page

Verify at the official NPI Registry.