Individual provider Active NPI

Kathryn A Pilch, MPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1114536257
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03043 Issued in IA
Practice address
2701 SE Convenience Blvd Ste 8
Ankeny, IA 50021-9433
Phone
(515) 963-7924
Fax
(515) 963-3096
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 03043 IA Primary

Addresses

Primary practice location

2701 SE Convenience Blvd Ste 8
Ankeny, IA 50021-9433

Mailing address

2701 SE Convenience Blvd Ste 8
Ankeny, IA 50021-9433
Phone (515) 963-7924

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation PastSince Aug 2, 2020 Accepting new patients
Iowa Physicians Clinic Medical Foundation PastSince Dec 28, 2020 Accepting new patients

Organizations & group practices 2

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1114536257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SE CONVENIENCE BLVD STE 8",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219433",
            "telephone_number": "515-963-7924",
            "fax_number": "515-963-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SE CONVENIENCE BLVD STE 8",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219433",
            "telephone_number": "515-963-7924",
            "fax_number": "515-963-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCH",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.