KAREN FOX P.T.
NPI 1245673078
Physical Therapist in Gorham, ME

Active since April 11, 2013Accepts Medicare Assignment
59 SLEEPY HOLLOW DR, GORHAM, ME 04038(207) 712-8172(207) 893-2992 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Fox P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN FOX P.T. (NPI 1245673078) is an individual physical therapist in Gorham, Maine, licensed in Maine (00977) and active in the NPI registry since April 2013. She is a graduate of Other (1990).

NPPES Registry Identity

NPI1245673078
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKAREN FOXCredential: P.T.
Location Address59 SLEEPY HOLLOW DRGorham, ME 04038-2563
Mailing Address59 Sleepy Hollow DrGorham, ME 04038-2563 · (207) 712-8172 · Fax (207) 893-2992
Fax(207) 893-2992
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 11, 2013
NPI 1245673078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in ME · 00977
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
59 SLEEPY HOLLOW DR, Gorham, ME 04038

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karen Fox P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012911753
PECOS Enrollment IDI20130829000451

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
105 services14 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
83 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
59 SLEEPY HOLLOW DR
GORHAM, ME 04038

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Fox's NPI number?

The NPI number for Karen Fox is 1245673078. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Karen Fox located?

Karen Fox practices at 59 Sleepy Hollow Dr, Gorham, ME 04038. The listed phone number is (207) 712-8172.

What is Karen Fox's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Karen Fox enrolled in Medicare?

Yes. Karen Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Karen Fox was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.