Individual provider Active NPI

Karen Tirador Penaredondo

  • Physical Therapist
  • Colton, CA
National Provider Identifier
1891072914
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35036 Issued in CA
Practice address
1350 Reche Canyon Rd
Colton, CA 92324-9528
Phone
(909) 370-4411
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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 35036 CA Primary

Addresses

Primary practice location

1350 Reche Canyon Rd
Colton, CA 92324-9528

Mailing address

10950 Cabrillo Loop
Loma Linda, CA 92354-2236
Phone (909) 653-3291

Other names 1

  • Miss Karen Tirador Penaredondo Professional 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
35036CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1891072914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 CABRILLO LOOP",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542236",
            "telephone_number": "909-653-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 RECHE CANYON RD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249528",
            "telephone_number": "909-370-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAREDONDO",
        "first_name": "KAREN",
        "middle_name": "TIRADOR",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PENAREDONDO",
            "middle_name": "TIRADOR",
            "prefix": "MISS",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.