Active NPI
Katherine Elizabeth Faulkner, PT
- Physical Therapist
- Northampton, MA
National Provider Identifier
1053488304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15960
- Practice address
- 100 Main Street
Movement Resource
Northampton, MA 01060 - Phone
- (413) 584-9942
- Fax
- (413) 584-9949
- NPI assigned
- Nov 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15960 | MA | Primary |
Addresses
Primary practice location
100 Main Street
Movement Resource
Northampton, MA 01060
Mailing address
48 Spruce Hill Avenue
Florence, MA 01062
Phone (413) 586-4485
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 |
|---|---|---|---|
| 15960 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053488304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 SPRUCE HILL AVENUE",
"city": "FLORENCE",
"state": "MA",
"postal_code": "01062",
"telephone_number": "413-586-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN STREET",
"address_2": "MOVEMENT RESOURCE",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "01060",
"telephone_number": "413-584-9942",
"fax_number": "413-584-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.