Individual provider Active NPI

Karen Charlotte Lips, P.T.

  • Specialist
  • Bethesda, MD
National Provider Identifier
1851417182
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15692 Issued in MD
Practice address
9903 Julliard Dr
Bethesda, MD 20817-1739
Phone
(301) 509-8739
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14264 CA
Specialist 174400000X PT871218 DC
Specialist 174400000X PT14264 CA
Specialist 174400000X 15692 MD Primary

Addresses

Primary practice location

9903 Julliard Dr
Bethesda, MD 20817-1739

Mailing address

9903 Julliard Dr
Bethesda, MD 20817-1739
Phone (301) 509-8739

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

LicenseStateTypeSpecialty
14264CAMDCase Manager/Care Coordinator
PT14264CAMDSpecialist
PT871218DCMDSpecialist
15692MDMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1851417182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 JULLIARD DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171739",
            "telephone_number": "301-509-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9903 JULLIARD DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171739",
            "telephone_number": "301-509-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPS",
        "first_name": "KAREN",
        "middle_name": "CHARLOTTE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "14264",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "PT871218",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT14264",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "15692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.