Individual provider Active NPI

Karen M Munger, PT

  • Physical Therapist
  • Rockford, MI
National Provider Identifier
1881794709
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010479 Issued in MI
Practice address
8450 Algoma Ave NE
Suite Aaa
Rockford, MI 49341-7507
Phone
(616) 863-9731
Fax
(616) 863-9831
NPI assigned
Sep 22, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010479 MI Primary

Addresses

Primary practice location

8450 Algoma Ave NE
Suite Aaa
Rockford, MI 49341-7507

Mailing address

847 Parchment Dr SE Ste 101
Grand Rapids, MI 49546-2303
Phone (616) 516-4334

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
5501010479MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Mountain Physical Therapy, LLC CurrentSince Dec 22, 2024 Accepting new patients
Dery Rehabilitation Services, PC Past Accepting new patients
Health Motion Physical Therapy Services Inc Physical Therapist PastSince Jan 27, 2014 Accepting new patients

Locations

847 Parchment Dr SE
Ste 101
Grand Rapids, MI 49546
Phone (616) 516-4334

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1881794709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462303",
            "telephone_number": "616-516-4334",
            "fax_number": "616-333-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 ALGOMA AVE NE",
            "address_2": "SUITE AAA",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417507",
            "telephone_number": "616-863-9731",
            "fax_number": "616-863-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.