Catie Ann Theresa Kwak

Primary specialty

SpecialistTaxonomy code 174400000X

License

704280 Issued in NY

Practice address

19 Robinson Rd
Clinton, NY 13323-1418

Phone

(315) 853-6090

NPI assigned

Dec 1, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1194687954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "VICTORY MILLS",
            "state": "NY",
            "postal_code": "128840198",
            "telephone_number": "518-441-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ROBINSON RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231418",
            "telephone_number": "315-853-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "CATIE ANN",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "704280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Korfonta, PT
• Stephanie Kowell, MSED, ATC
• KPH Healthcare Services, Inc.
• Michelle Kuhn, OTR/L
• Tracy Wester Kulyk, M.S.P. CCC-SLP, M.ED
• Manling Kwan
• Rachel Marie Lacelle, FNP
• Stephanie Landman, SPED
• Sheila D Laquay
• Nicole E Laribee

• Specialist in Clinton, NY
• Providers in Clinton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.