Individual provider Active NPI

Katie Thomsen, PT, DPT

  • Physical Therapist
  • Statesboro, GA
National Provider Identifier
1053220582
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018607 Issued in GA
Practice address
32 Joe Kennedy Blvd
Statesboro, GA 30458-3417
Phone
(912) 344-9657
Fax
(912) 259-9668
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018607 GA Primary

Addresses

Primary practice location

32 Joe Kennedy Blvd
Statesboro, GA 30458-3417

Mailing address

32 Joe Kennedy Blvd
Statesboro, GA 30458-3417
Phone (912) 344-9657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1053220582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 JOE KENNEDY BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304583417",
            "telephone_number": "912-344-9657",
            "fax_number": "912-259-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 JOE KENNEDY BLVD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304583417",
            "telephone_number": "912-344-9657",
            "fax_number": "912-259-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "KATIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.