Individual provider Active NPI

Katharyn Crozier Howard, DPT

  • Physical Therapist
  • Beverly, MA
National Provider Identifier
1093799785
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203986 Issued in VA
Practice address
19 Swan St
Beverly, MA 01915-3119
Phone
(978) 636-5200
Fax
(781) 208-0918
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 2305203986 VA Primary

Addresses

Primary practice location

19 Swan St
Beverly, MA 01915-3119

Mailing address

19 Swan St
Beverly, MA 01915-3119
Phone (978) 636-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.northshoremobilitypt.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122001235 MA Practitioner - Physical Therapist in Private Practice 3971951401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203986VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Mobility & Wellness Concierge Physical Therapy Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1093799785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SWAN ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153119",
            "telephone_number": "978-636-5200",
            "fax_number": "781-208-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SWAN ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019153119",
            "telephone_number": "978-636-5200",
            "fax_number": "781-208-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KATHARYN",
        "middle_name": "CROZIER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.northshoremobilitypt.com",
            "affiliation": "N",
            "endpointDescription": "NSMW Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19 Swan St",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019153119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.