Individual provider Active NPI

Karen Eastburn Surdi, PT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1871729400
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28314 Issued in FL
Practice address
4630 17TH Street
Sarasota, FL 34235-1843
Phone
(941) 487-5400
Fax
(941) 487-5430
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03555R LA
Physical Therapist 225100000X PT28314 FL Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

4630 17TH Street
Sarasota, FL 34235-1843

Mailing address

4630 17TH Street
Sarasota, FL 34235-1843
Phone (941) 487-5400

Other names 1

  • Karen Lee Hilton Former name

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

LicenseStateTypeSpecialty
PT28314FLMDPhysical Therapist
03555RLAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1871729400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 17TH STREET",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-487-5400",
            "fax_number": "941-487-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 17TH STREET",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-487-5400",
            "fax_number": "941-487-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDI",
        "first_name": "KAREN",
        "middle_name": "EASTBURN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03555R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28314",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "HILTON",
            "middle_name": "LEE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.