Katie Gatica Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KATIE GATICA PHYSICAL THERAPY, LLC

Practice address

2333 S Tackett'S Cir
Palmer, AK 99645

Phone

(603) 369-0872

Fax

(855) 753-0111

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Katie Gatica, PT, DPTNPI 1790335800

Title

Owner

Phone

(603) 369-0872

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie M Gatica, PT, DPT

  • Pediatric Physical Therapist
  • Palmer, AK
  • NPI 1790335800
  NPD Authorized official
• Emily McKay, PTA

  • Physical Therapy Assistant
  • Palmer, AK
  • NPI 1811528391
  NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1013555259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 S TACKETT'S CIR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "603-369-0872",
            "fax_number": "855-753-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 S TACKETT'S CIR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "603-369-0872",
            "fax_number": "855-753-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE GATICA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "GATICA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-369-0872",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702717",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Jorgensen, D.C., B.S.
• Josh Miller Counseling, LLC
• Miranda Jurik
• Cassandra Angela Justice, RN
• Annette Kasprzak, M.D
• Laken Keller
• Carla Beth Kelly
• Marisa Mae Kelly, RN
• Owen Kelly
• Vaughn William Kelly, FNP

• Physical Therapist in Palmer, AK
• Providers in Palmer, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.