Individual provider Active NPI

Katherine Handshoe, DPT

  • Physical Therapist
  • Jarrettsville, MD
National Provider Identifier
1073066510
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26069 Issued in MD
Practice address
3718B Norrisville Rd
Jarrettsville, MD 21084-1419
Phone
(410) 692-9180
Fax
(410) 692-9750
NPI assigned
Aug 2, 2016
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 26069 MD Primary

Addresses

Primary practice location

3718B Norrisville Rd
Jarrettsville, MD 21084-1419

Mailing address

3718B Norrisville Rd
Jarrettsville, MD 21084-1419
Phone (410) 692-9180

Other identifiers 1

IdentifierTypeStateIssuer
534202300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170508001600 MD Practitioner - Physical Therapist in Private Practice 5092092627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Sports Medicine and Rehabilitation LLC Current Accepting new patients
Lifebridge Sports Medicine & Rehabilitation, LLC CurrentSince Nov 21, 2022 Accepting new patients
McLaughlin Physical Therapy & Hand Rehabilitation Past Accepting new patients

Organizations & group practices 3

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1073066510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718B NORRISVILLE RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-692-9180",
            "fax_number": "410-692-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718B NORRISVILLE RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841419",
            "telephone_number": "410-692-9180",
            "fax_number": "410-692-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDSHOE",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534202300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarrettsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.