Provider Demographics
NPI:1548261092
Name:HUGHES, KAREN MARIE (PT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:TOMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8276 PARK RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020
Mailing Address - Country:US
Mailing Address - Phone:585-343-9496
Mailing Address - Fax:585-343-9497
Practice Address - Street 1:8276 PARK RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1275
Practice Address - Country:US
Practice Address - Phone:585-343-9496
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9061225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00011193601OtherUNIVERA (NY)
9303929OtherIHA (NY)
106335FTOtherPREFERRED CARE
P01000961OtherBLUE CHOICE
000611315001OtherBLUE CROSS (WNY)
106335FTOtherPREFERRED CARE