Individual provider Active NPI

Katrina Pizzichetta, PT, DPT

  • Physical Therapist
  • Montvale, NJ
National Provider Identifier
1184263618
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01797600 Issued in NJ
Practice address
225 Summit Ave
Montvale, NJ 07645-1523
Phone
(201) 775-7416
NPI assigned
Jan 1, 2020
Last updated
Jan 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037442 NY
Physical Therapist 225100000X 40QA01797600 NJ Primary

Addresses

Primary practice location

225 Summit Ave
Montvale, NJ 07645-1523

Mailing address

179 Woodlands Dr
Tuxedo Park, NY 10987-4803
Phone (845) 271-9490

Other practice location 1

225 Mamaroneck Ave
White Plains, NY 10605-1301
Phone (845) 271-9490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229000429 NY Practitioner - Physical Therapist in Private Practice 8224441878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolve Physical Therapy, P. C.Group PAC ID 3678985595, 7 clinicians

Practice addresses (Care Compare)

1128 State Route 17K
Suite 3
Montgomery, NY 12549-2270
Phone (845) 769-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037442NYMDPharmacist
40QA01797600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Physical Therapy, P. C. Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients

Locations

1751 State Route 17A
Ste 1L
Florida, NY 10921
Phone (845) 769-7777

1128 State Route 17K
Ste 3
Montgomery, NY 12549
Phone (845) 769-7777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1184263618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 WOODLANDS DR",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874803",
            "telephone_number": "845-271-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SUMMIT AVE",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451523",
            "telephone_number": "201-775-7416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Mamaroneck Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106051301",
            "country_code": "US",
            "telephone_number": "845-271-9490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIZZICHETTA",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037442",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01797600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.