Active NPI 1851380463 Individual Practitioner Female Practitioner

Karen A Backall , PT

Specialist • Pinehurst, NC

Professional Overview & Biography Verified Profile Summary

Karen Backall, PT is a registered healthcare professional specializing in Specialist in Pinehurst, NC. Practice services are available at 111 CENTRAL PARK AVE STE E under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, re-evaluation for physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Central Park Ave Ste E

Pinehurst, NC 283748805

Telephone 9102150541

Fax 9102159886

Associated Practice Facility / Clinic

🏢 Appalachian Physica L Therapy, Inc Facility NPI 1669528402

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pinehurst, NC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.7 Yrs

State Avg: 35.4 Yrs

Regional Practice Density

15 Specialists

Practicing in Pinehurst, NC (945 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	622	35	$56.00	$27.63
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	604	35	$48.50	$21.65
97164 Re-evaluation for physical therapy, typically 20 minutes	49	30	$80.00	$66.44
97163 Evaluation for physical therapy, typically 45 minutes	16	16	$162.00	$93.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,296	72	$56.00	$28.34
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,290	72	$48.50	$22.32
97164 Re-evaluation for physical therapy, typically 20 minutes	81	54	$79.14	$67.13
97163 Evaluation for physical therapy, typically 45 minutes	50	46	$162.00	$96.67
97162 Evaluation for physical therapy, typically 30 minutes	12	12	$162.00	$97.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,628	72	$48.50	$22.49
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,480	72	$56.00	$29.26
97164 Re-evaluation for physical therapy, typically 20 minutes	107	54	$69.16	$65.64
97163 Evaluation for physical therapy, typically 45 minutes	46	44	$162.00	$96.64
97162 Evaluation for physical therapy, typically 30 minutes	16	16	$162.00	$98.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,767	90	$47.32	$22.96
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,709	90	$53.63	$29.83
97164 Re-evaluation for physical therapy, typically 20 minutes	101	58	$60.00	$57.53
97163 Evaluation for physical therapy, typically 45 minutes	34	32	$153.71	$84.06
97162 Evaluation for physical therapy, typically 30 minutes	32	32	$153.19	$84.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,109	109	$43.50	$29.07
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,017	109	$42.00	$22.70
97164 Re-evaluation for physical therapy, typically 20 minutes	107	73	$60.00	$55.29
97162 Evaluation for physical therapy, typically 30 minutes	71	69	$115.00	$81.42
97163 Evaluation for physical therapy, typically 45 minutes	19	19	$115.00	$81.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,350	80	$42.00	$22.57
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,326	80	$43.50	$28.99
97162 Evaluation for physical therapy, typically 30 minutes	58	57	$115.00	$80.42
97530 Therapy procedure using functional activities	50	36	$45.50	$29.86
97164 Re-evaluation for physical therapy, typically 20 minutes	45	39	$60.00	$54.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,652	95	$43.50	$27.71
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,616	95	$42.00	$23.13
97164 Re-evaluation for physical therapy, typically 20 minutes	60	51	$60.00	$50.24
97162 Evaluation for physical therapy, typically 30 minutes	43	41	$115.00	$76.94
97163 Evaluation for physical therapy, typically 45 minutes	16	16	$115.00	$77.62

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC 2199

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem Provider Number

0775N (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Ernest Stevenson , PT

Physical Therapist

NPI 1124072830

Physical Therapist

Dr. Brooks Brady , DPT

Physical Therapist

NPI 1245463918

Doctor of Physical Therapy

Raymond Metzger, Iii , PT

Specialist

NPI 1417154907

Physical Therapist

Dr. Teresa Walsh , PT, DPT

Physical Therapist

NPI 1477942621

Physical Therapist, Doctor of Physical Therapy

Dr. Jonathan Cole , DPT

Physical Therapist

NPI 1629364872

Doctor of Physical Therapy

Amy O'reilly , PT

Specialist

NPI 1962634220

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 31, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2007

Registered at 111 CENTRAL PARK AVE STE E, PINEHURST, NC 283748805 (Tel: 9102150541)

📍

Updated Business Mailing Address October 31, 2007

Registered at 112 N RIVER RD, BRIDGEWATER, VA 228121611 (Tel: 5408286443)

👤

Provider Name / Credentials Updated October 31, 2007

Recorded as KAREN BACKALL, PT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2007

Specialist (License #2199 in NC)

🟢

Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851380463

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 17, 2005

Last Update: October 31, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

112 N River Rd

Bridgewater, VA 228121611

Phone: 5408286443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.