Individual provider Active NPI

Kathryn Anne Sathre, P.T.

  • Physical Therapist
  • Bluefield, VA
National Provider Identifier
1043418379
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305004335 Issued in VA
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

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0156094000MedicaidWV

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

LicenseStateTypeSpecialty
2305004335VAMDPhysical Therapist
001039WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.