Active NPI
Kathryn Anne Sathre, P.T.
- Physical Therapist
- Bluefield, VA
National Provider Identifier
1043418379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004335
- Practice address
- 111B Sanders Lane
Bluefield, VA 24605-9278 - Phone
- (276) 326-3611
- Fax
- (276) 322-2850
- NPI assigned
- Jul 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004335 | VA | Primary |
| Physical Therapist | 225100000X | 001039 | WV |
Addresses
Primary practice location
111B Sanders Lane
Bluefield, VA 24605-9278
Mailing address
111B Sanders Lane
Bluefield, VA 24605-9278
Phone (276) 326-3611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156094000 | Medicaid | WV |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004335 | VA | MD | Physical Therapist |
| 001039 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical & Occupational Therapy Services Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Abingdon, VA
- NPI 1891806949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1043418379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111B SANDERS LANE",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246059278",
"telephone_number": "276-326-3611",
"fax_number": "276-322-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111B SANDERS LANE",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246059278",
"telephone_number": "276-326-3611",
"fax_number": "276-322-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATHRE",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-09",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305004335",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "001039",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156094000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.