Kathryn Anne Estridge, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9957 Issued in NC

Practice address

4501 Montibello Dr
Charlotte, NC 28226-7422

Phone

(704) 840-5444

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Katie Estridge Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1053030387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MONTIBELLO DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267422",
            "telephone_number": "704-840-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MONTIBELLO DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267422",
            "telephone_number": "704-840-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRIDGE",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pteverywhere.com",
            "affiliation": "N",
            "endpointDescription": "scheduling and messaging system",
            "address_1": "4501 Montibello Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282267422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ESTRIDGE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Hugh Estramonte, DC
• Katie Joy Estrella, LCSW
• Kelmy Yajaira Estrella, LCSWA
• Cailey Miranda Estridge, MS, RDN, LDN
• Chelsey Anne Estridge
• Joseph John Estwanik, M.D.
• Teresa Bauer Etheredge, PHARM.D
• Ashley Victoria Etheridge
• Denasia Etheridge
• Denese Etheridge

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.