Individual provider Active NPI

Kathryn Marie Dektor, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1134453020
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8678 Issued in AZ
Practice address
690 N Cofco Center CT
Ste 290
Phoenix, AZ 85008-6462
Phone
(602) 631-3181
Fax
(602) 631-3182
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 8678 AZ Primary

Addresses

Primary practice location

690 N Cofco Center CT
Ste 290
Phoenix, AZ 85008-6462

Mailing address

PO Box 271429
Salt Lake City, UT 84127-1429
Phone (602) 772-3800

Other identifiers 1

IdentifierTypeStateIssuer
3Z3931OtherAZHEALTHNET

Other names 1

  • Kathryn Marie Schlesselman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000050 AZ Practitioner - Physical Therapist in Private Practice 9739227968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

8270 S Houghton Rd
Suite 180
Tucson, AZ 85747-9717
Phone (520) 664-1430

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients

Locations

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

13395 N Marana Main St
Fl 2
Marana, AZ 85653
Phone (520) 399-0000

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

1686 W Valencia Rd
Ste 100
Tucson, AZ 85746
Phone (520) 573-1443

Interoperability endpoints

  • Direct secure messaging: kathryn.dektor.p6@direct.athleticoltd.nextgenshare.com

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1134453020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271429",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271429",
            "telephone_number": "602-772-3800",
            "fax_number": "602-772-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N COFCO CENTER CT",
            "address_2": "STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086462",
            "telephone_number": "602-631-3181",
            "fax_number": "602-631-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKTOR",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3Z3931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "SCHLESSELMAN",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.