Katherine Brewer Tyree, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10886R Issued in LA

Practice address

1150 Robert Blvd Ste 232
Slidell, LA 70458-2005

Phone

(985) 641-2996

Fax

(985) 259-4349

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Lynette Brewer Former name

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Physical Therapy Clinic IncGroup PAC ID 6103167184, 13 clinicians

Practice addresses (Care Compare)

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.

• Southern Physical Therapy Clinic, Inc.

  • Physical Therapy Clinic/Center
  • Picayune, MS
  • NPI 1801370929

  LA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Mississippi LLC

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1811547680
  Medicare reassignment NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448
  Medicare reassignment NPD
• Cross Gates Physical Therapy

  • Physical Therapist
  • Slidell, LA
  • NPI 1972924041
  NPD (past)
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1033723937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-206-4158",
            "fax_number": "717-773-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 232",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582005",
            "telephone_number": "985-641-2996",
            "fax_number": "985-259-4349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 Gause Blvd Ste 107&108",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704583000",
            "country_code": "US",
            "telephone_number": "769-242-2626",
            "fax_number": "985-307-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Highway 11 N Ste C",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662070",
            "country_code": "US",
            "telephone_number": "769-242-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYREE",
        "first_name": "KATHERINE",
        "middle_name": "BREWER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6988",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10886R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BREWER",
            "middle_name": "LYNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel P Tveit, MD
• Deborah Tveit, PMHNP-BC
• Tyler R Mesa Pediatric Dentistry
• Danielle Chesser Tyler, LCSW-BACS, LCASA
• Natascha Nicole Tyler, PMHNP-BC
• Ashlyn Elizabeth Ulmer, M.S., CCC-SLP
• Breanna Underwood
• United Seating and Mobility, LLC
• Urgent Care of Slidell, Inc.
• Katie Richaud Ussery, LPC

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.