Active NPI
Katherine Easby, DAT, LAT, ATC
- Athletic Trainer
- King of Prussia, PA
National Provider Identifier
1134519085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT004585
- Practice address
- 550 S Goddard Blvd
King of Prussia, PA 19406-2922 - Phone
- (215) 590-1527
- Fax
- (215) 590-1501
- NPI assigned
- Jan 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004585 | PA | Primary |
Addresses
Primary practice location
550 S Goddard Blvd
King of Prussia, PA 19406-2922
Mailing address
550 S Goddard Blvd
King of Prussia, PA 19406-2922
Phone (215) 590-1527
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT004585 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1134519085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S GODDARD BLVD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062922",
"telephone_number": "215-590-1527",
"fax_number": "215-590-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S GODDARD BLVD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062922",
"telephone_number": "215-590-1527",
"fax_number": "215-590-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASBY",
"first_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "DAT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.