Individual provider Active NPI

Kathrina May A Pamintuan, PT

  • Physical Therapist
  • Tamuning, GU
National Provider Identifier
1033629035
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-136 Issued in GU
Practice address
809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132
Phone
(671) 647-5355
Fax
(671) 647-5358
NPI assigned
Oct 4, 2017
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-136 GU Primary

Addresses

Primary practice location

809 Chalan Pasaheru Unit 2
Tamuning, GU 96913-4132

Mailing address

PO Box 8838
Tamuning, GU 96931-8838
Phone (671) 647-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180710002379 GU Practitioner - Physical Therapist in Private Practice 2860748589 Reassigns benefits to 2 organizations
I20241106001946 VA Practitioner - Physical Therapist in Private Practice 2860748589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Therapy Solutions LLCGroup PAC ID 8325370380, 33 clinicians

Practice addresses (Care Compare)

16830 Dumfries Rd
Suite 140
Dumfries, VA 22025-9999
Phone (703) 523-1750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Jul 19, 2024 Accepting new patients
Sentara Therapy Solutions, LLC Physical Therapist CurrentSince Jul 19, 2024 Accepting new patients

Locations

16830 Dumfries Rd
Ste 140
Dumfries, VA 22025
Phone (703) 523-1750

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1033629035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8838",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969318838",
            "telephone_number": "671-647-5355",
            "fax_number": "671-647-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CHALAN PASAHERU UNIT 2",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134132",
            "telephone_number": "671-647-5355",
            "fax_number": "671-647-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMINTUAN",
        "first_name": "KATHRINA MAY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GU",
            "license": "PT-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.