Active NPI
Katherine H Shearer, PT
- Physical Therapist
- Minnetonka, MN
National Provider Identifier
1023067030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5280
- Practice address
- 3395 Plymouth Rd
St David'S Center
Minnetonka, MN 55305-3765 - Phone
- (952) 939-0396
- Fax
- (952) 548-8760
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5280 | MN | Primary |
Addresses
Primary practice location
3395 Plymouth Rd
St David'S Center
Minnetonka, MN 55305-3765
Mailing address
3395 Plymouth Rd
St David'S Center
Minnetonka, MN 55305-3765
Phone (952) 939-0396
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9V779SH | Other | MN | BCBS |
| HP41178 | Other | HEALTHPARTNERS | |
| 6402738 | Other | MEDICA |
Other names 1
- Katherine H Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5280 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1023067030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"address_2": "ST DAVID'S CENTER",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765",
"telephone_number": "952-939-0396",
"fax_number": "952-548-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"address_2": "ST DAVID'S CENTER",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765",
"telephone_number": "952-939-0396",
"fax_number": "952-548-8760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "KATHERINE",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9V779SH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP41178",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6402738",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "SMITH",
"middle_name": "H",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.