Individual provider Active NPI

Katherine M Beatty, PT, DPT

  • Pediatric Physical Therapist
  • Richlands, NC
National Provider Identifier
1114207305
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
P13842 Issued in NC
Practice address
7011 Gum Branch Rd
Richlands, NC 28574-8227
Phone
(910) 750-9255
NPI assigned
Aug 19, 2011
Last updated
May 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 032771 NY
Pediatric Physical Therapist 2251P0200X P13842 NC Primary

Addresses

Primary practice location

7011 Gum Branch Rd
Richlands, NC 28574-8227

Mailing address

312 Richmond Dr
Jacksonville, NC 28540-4081
Phone (910) 750-9255

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
P13842NCMDPediatric Physical Therapist
032771NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Step Therapy Inc CurrentSince May 12, 2024 Accepting new patients

Locations

7011 Gum Branch Rd
Richlands, NC 28574
Phone (910) 290-2170

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, 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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1114207305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 RICHMOND DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404081",
            "telephone_number": "910-750-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 GUM BRANCH RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748227",
            "telephone_number": "910-750-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "032771",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P13842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.