Individual provider Active NPI

Katie Brooke Walters, MOT,OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Loysburg, PA
National Provider Identifier
1043503147
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OC011505 Issued in PA
Practice address
2230 Woodbury Pike
Suite 1
Loysburg, PA 16659-9506
Phone
(814) 766-2295
Fax
(814) 766-2642
NPI assigned
May 23, 2011
Last updated
May 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X OC011505 PA Primary

Addresses

Primary practice location

2230 Woodbury Pike
Suite 1
Loysburg, PA 16659-9506

Mailing address

2230 Woodbury Pike
Suite 1
Loysburg, PA 16659-9506
Phone (814) 766-2295

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Physical Therapy, Inc. PastSince Apr 1, 2008 Accepting new patients
Bhome Medical Associates, PLLC PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 2

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1043503147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 WOODBURY PIKE",
            "address_2": "SUITE 1",
            "city": "LOYSBURG",
            "state": "PA",
            "postal_code": "166599506",
            "telephone_number": "814-766-2295",
            "fax_number": "814-766-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 WOODBURY PIKE",
            "address_2": "SUITE 1",
            "city": "LOYSBURG",
            "state": "PA",
            "postal_code": "166599506",
            "telephone_number": "814-766-2295",
            "fax_number": "814-766-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KATIE",
        "middle_name": "BROOKE",
        "credential": "MOT,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC011505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.