Individual provider Active NPI

Joan Rachelle Katz, P.T.

  • Pediatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1053557835
Registry record updated Dec 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
009456-1 Issued in NY
Practice address
1643 Glenwood Rd
Brooklyn, NY 11230-1713
Phone
(917) 586-7883
NPI assigned
Dec 27, 2008
Last updated
Dec 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 009456-1 NY Primary

Addresses

Primary practice location

1643 Glenwood Rd
Brooklyn, NY 11230-1713

Mailing address

1643 Glenwood Rd
Brooklyn, NY 11230-1713
Phone (917) 586-7883

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
009456-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230336000000",
    "number": "1053557835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301713",
            "telephone_number": "917-586-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301713",
            "telephone_number": "917-586-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JOAN",
        "middle_name": "RACHELLE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-27",
        "last_updated": "2008-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "009456-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; 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.