Kathryn Mary Balgeman, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30649 Issued in AZ

Practice address

10429 S 51St St Ste 206
Phoenix, AZ 85044-5237

Phone

(480) 485-6574

Fax

(866) 388-7823

NPI assigned

Oct 19, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Mary Dowdel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Personal Wellness Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1174394142
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1013468552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 E DESERT TRUMPET RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489167",
            "telephone_number": "480-485-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10429 S 51ST ST STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445237",
            "telephone_number": "480-485-6574",
            "fax_number": "866-388-7823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2363 E Desert Trumpet Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850489167",
            "country_code": "US",
            "telephone_number": "480-485-6578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALGEMAN",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014310",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DOWDEL",
            "middle_name": "MARY",
            "credential": "PT, DPT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nadine Piazza Baldwin, DAC, LAC
• Noreen Ann Baldwin, M.S.
• Rhonda J Baldwin, LCSW
• Talya Baldwin
• Stefanny Balestracci, MA, LAC
• Bailey Ann Balinski, DO
• Lonni Balisky, DDS
• Nicole Balistrieri
• Othniel S Balizou, MD
• Heather Balk, PHARMD

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.