Katelyn Southwick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10 Saint Patricks Dr
Suite 401
Waldorf, MD 20603-4527

Phone

(301) 870-7366

NPI assigned

Aug 31, 2016

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saylor Physical Therapy of Palm Beach Gardens LLCGroup PAC ID 1254585474, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Saylor Physical Therapy of Palm Beach Gardens LLC

  • Health Maintenance Organization
  • West Palm Beach, FL
  • NPI 1649524018
  Medicare reassignment Care Compare group
• Proflex Physical Therapy of Maryland, LLC

  • Physical Medicine & Rehabilitation Physician
  • Leonardtown, MD
  • NPI 1841748316
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1154877959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20754 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-935-9599",
            "fax_number": "305-932-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR",
            "address_2": "SUITE 401",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-870-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWICK",
        "first_name": "KATELYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Maryland Oral & Maxillofacial Surgery
• Southern Maryland Physical Therapy, Inc
• Southern Maryland Primary Care, LLC
• Southern Maryland Pulmonary & Critical Care, P.a.
• Southern Maryland Speech and Language Services
• Sovereign Consulting Group LLC
• Speaking of...
• Shoshoni Spence, LCSW-C, LICSW
• Tamara Spence, LMSW
• Toni Spiller

• Physical Therapist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.