Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Karl A Bourne Jr.

Individual provider Physical Therapist · NPI 1730826769

Karl A Bourne Jr. is a Physical Therapist in Private Practice in Miami, Florida. Qualified in 2021, 5 years ago. Practices with Fox Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022

Practice location Address checks out

17601 NW 2nd Ave Ste S
Miami, FL 33169-5001
Phone: (305) 770-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 38647 (FL)

Record details

NPI number1730826769
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2022
Last updated in NPPESMay 20, 2022
Certification dateMay 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fox Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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