Kathleen Petkovsky, PT/CHT

Primary specialty

Hand Physical TherapistTaxonomy code 2251H1200X

License

1205 Issued in AZ

Practice address

1355 S Higley Rd
Suite 101
Higley, AZ 85236

Phone

(480) 507-8080

Fax

(480) 507-8085

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic Specialists of North America, PLLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1770812828

  AZ

  Medicare reassignment NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1467129684

  AZ

  Medicare reassignment
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1093681033
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1306353503
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1497271431
  NPD
• Orthopedic Specialists of North America, PLLC

  • Orthopaedic Surgery Physician
  • Avondale, AZ
  • NPI 1770805590
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1023619632

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1083669287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 S PIEDRA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD",
            "address_2": "SUITE 101",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "85236",
            "telephone_number": "480-507-8080",
            "fax_number": "480-507-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETKOVSKY",
        "first_name": "KATHLEEN",
        "credential": "PT/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "AZ",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Lee Knoblock, LCSW
• Lauren'S Institute for Education
• Joshua L Leahy, PA C
• Debbie Lynn Mackinlay, RN
• Lori Rae Martin, MSW
• Pivonka Chiropractic, P.C.
• Anthony James Pivonka, D.C.
• Patricia Lynn Pivonka, D.C.
• San Tan Smiles Family Dentistry
• Susan D Scarla, MD

• All providers in Higley, AZ
• Hand Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.