Katie M Seymour, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007583 Issued in GA

Practice address

2601A Demere Rd
St Simons Island, GA 31522-1614

Phone

(912) 634-9945

Fax

(912) 638-1584

NPI assigned

Mar 26, 2007

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

Other identifiers 1

Other names 1

• Miss Katie M Krueger Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Mobile Physical TherapistGroup PAC ID 8921465444, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Mobile Physical Therapist

  • Physical Therapist
  • St Simons Island, GA
  • NPI 1801587050
  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Physical Therapy Inc

  • Physical Therapist
  • Brunswick, GA
  • NPI 1982737748
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1124145800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20281",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315228281",
            "telephone_number": "716-361-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601A DEMERE RD",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221614",
            "telephone_number": "912-634-9945",
            "fax_number": "912-638-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST LICENSE NUMBER",
            "identifier": "PT007583",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "KRUEGER",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Sears, LAPC
• Seaside Drugs Inc
• Seaworthy Anesthesia, LLC
• Seaworthy Health LLC
• Yasmin Roisin Seay, MD
• William F Shivers Jr., M.D.
• John Franklin Sisley III, M.D.
• Laura Paige Slack, MD
• Amauri Smith, PT, DPT
• James Stratton Snow Jr., D.O.

• Physical Therapist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.