Kathryn E Cortelyou, PT
Individual provider Active NPI Physical Therapist · Windham, NH
NPI 1144375486 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1144375486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13003 (MA)
- Practice address
- 58 Range Rd Ste 16
Windham, NH 03087-2026 - Phone
- (603) 890-8844
- Fax
- (603) 890-8845
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Balance Rehabilitation and Health Science, LLC
Practice addresses (Care Compare)
58 Range Rd
Suite 16
Windham, NH 03087-2026
Phone (603) 860-8844
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210002789 | NH | Practitioner - Physical Therapist in Private Practice | 2466449046 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13003 | MA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Rehabilitation and Health Science, LLC | Physical Therapist | Current |
Accepting new patients |
| Kennedy Brothers Physical Therapy Inc. | Physical Therapist | Past |
Accepting new patients |
Locations
542 Mast Rd
Ste 4
Goffstown, NH 03045
Phone (603) 581-8090
48 Mast Rd
Goffstown, NH 03045
Phone (603) 497-8717
58 Range Rd
Ste 16
Windham, NH 03087
Phone (603) 860-8844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13003 | MA | Yes |
Addresses
Primary practice location
58 Range Rd Ste 16
Windham, NH 03087-2026
Mailing address
58 Range Rd Ste 16
Windham, NH 03087-2026
Phone (603) 890-8844
Other practice location 1
542 Mast Rd Ste 4
Goffstown, NH 03045-5258
Phone (603) 890-8844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468029 | Other | MA | TUFTS |
| Y67478 | Other | MA | BCBS |
| 3104403 | Medicaid | NH |
Other providers in Windham, NH
- Convenientmd - FFS UC LLC
- Convenientmd LLC
- Convenientmd LLC
- Scott Patrick Cook
- Maryanne Cormier
- Darlene Jean Cote
- Stephanie Paige Creegan
- Sian Crosby
- Nicole Curran
- Rachel Ashley Cushman
All providers in Windham, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.