Individual provider Active NPI

Katherine Maura Clancy-Levan, MSPT

  • Physical Therapist
  • Sewell, NJ
National Provider Identifier
1205892148
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00883000 Issued in NJ
Practice address
14 Park PL
Suite D
Sewell, NJ 08080-2184
Phone
(856) 256-8393
Fax
(856) 256-8390
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00883000 NJ Primary

Addresses

Primary practice location

14 Park PL
Suite D
Sewell, NJ 08080-2184

Mailing address

14 Park PL
Suite D
Sewell, NJ 08080-2184
Phone (856) 256-8393

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therasport Physical Therapy, LLC Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205892148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PARK PL",
            "address_2": "SUITE D",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802184",
            "telephone_number": "856-256-8393",
            "fax_number": "856-256-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PARK PL",
            "address_2": "SUITE D",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802184",
            "telephone_number": "856-256-8393",
            "fax_number": "856-256-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY-LEVAN",
        "first_name": "KATHERINE",
        "middle_name": "MAURA",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00883000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.