Individual provider Active NPI

Katrina Pollard, PT, DPT

  • Physical Therapist
  • Barnstable, MA
National Provider Identifier
1104597517
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25669 Issued in MA
Practice address
3179 Main St
Barnstable, MA 02630-1105
Phone
(508) 209-7334
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NBD Healthcare Associates Inc 5 clinicians

Practice addresses (Care Compare)

3179 Main St
Suite a
Barnstable, MA 02630-1105
Phone (508) 209-7334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211113000008 MA Practitioner - Physical Therapist in Private Practice 7416346440 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25669MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NBD Healthcare Associates, Inc. Physical Therapist CurrentSince Oct 18, 2021 Accepting new patients

Locations

3179 Main St
Ste A
Barnstable, MA 02630
Phone (508) 209-7334

3179 Main St
Barnstable, MA 02630
Phone (508) 209-7334

3179 Main St
Ste C
Barnstable, MA 02630

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25669 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

3179 Main St
Barnstable, MA 02630-1105

Mailing address

7 Summer St
Blackstone, MA 01504-1335
Phone (177) 436-4343

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2021.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1104597517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUMMER ST",
            "city": "BLACKSTONE",
            "state": "MA",
            "postal_code": "015041335",
            "telephone_number": "177-436-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3179 MAIN ST",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "026301105",
            "telephone_number": "508-209-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "KATRINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnstable, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.