Active NPI
Karen Cravotta, PT
- Physical Therapist
- Avon, IN
National Provider Identifier
1871661447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008130A
- Practice address
- 7840 E US Highway 36 Ste D
Avon, IN 46123-7155 - Phone
- (317) 272-4500
- Fax
- (317) 272-4507
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05008130A | IN | Primary |
Addresses
Primary practice location
7840 E US Highway 36 Ste D
Avon, IN 46123-7155
Mailing address
7209 N Shadeland Ave
Indianapolis, IN 46250-2021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200680200 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05008130A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1871661447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 E US HIGHWAY 36 STE D",
"city": "AVON",
"state": "IN",
"postal_code": "461237155",
"telephone_number": "317-272-4500",
"fax_number": "317-272-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVOTTA",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008130A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200680200",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.