Active NPI
Karen Letellier, MPT
- Physical Therapist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204820
- Practice address
- 5716 Cleveland St Ste 102
Virginia Beach, VA 23462-1784 - Phone
- (757) 961-7271
- Fax
- (757) 961-7276
- NPI assigned
- Sep 15, 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 | 2305204820 | VA | Primary |
Addresses
Primary practice location
5716 Cleveland St Ste 102
Virginia Beach, VA 23462-1784
Mailing address
3920 Springfield Rd
Glen Allen, VA 23060-4119
Phone (804) 747-7472
Other practice location 1
5301 Providence Rd Ste 80
Virginia Beach, VA 23464-4128
Phone (757) 467-4604
Other names 1
- Karen Drennan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1628 Laskin Rd
Suite 706
Virginia Beach, VA 23451-7504
Phone (757) 481-0052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204820 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Tracy M. Hernandez, Inc. | Physical Therapist | Past | Accepting new patients |
| Fallon Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Center for Physical Therapy & Sports Medicine, PC | Physical Therapist | Past | Accepting new patients |
Locations
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
5301 Providence Rd
Ste 80
Virginia Beach, VA 23464
Phone (757) 467-1900
1628 Laskin Rd
Ste 706
Virginia Beach, VA 23451
Phone (757) 481-0052
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
-
- Physical Therapist
- Glen Allen, VA
- NPI 1851484448
-
dba Innovative Therapy & Wellness
- Physical Therapist
- Virginia Beach, VA
- NPI 1487664264
-
- Physical Therapist
- Fallon, NV
- NPI 1861561227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1922104439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 SPRINGFIELD RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230604119",
"telephone_number": "804-747-7472",
"fax_number": "804-747-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 CLEVELAND ST STE 102",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621784",
"telephone_number": "757-961-7271",
"fax_number": "757-961-7276"
}
],
"practiceLocations": [
{
"address_1": "5301 Providence Rd Ste 80",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234644128",
"country_code": "US",
"telephone_number": "757-467-4604",
"fax_number": "757-467-2716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETELLIER",
"first_name": "KAREN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "DRENNAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.