Individual provider Active NPI

Katie Jo Cole, MPT, DPT

  • Physical Therapist
  • Redmond, OR
National Provider Identifier
1215074398
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4211 Issued in OR
Practice address
2775 SW 17TH PL
Suite 1
Redmond, OR 97756-1254
Phone
(541) 261-2246
Fax
(949) 224-7775
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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 4211 OR Primary

Addresses

Primary practice location

2775 SW 17TH PL
Suite 1
Redmond, OR 97756-1254

Mailing address

2775 SW 17TH PL
Suite 1
Redmond, OR 97756-1254
Phone (541) 261-2246

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

State licenses

LicenseStateTypeSpecialty
4211ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1215074398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PL",
            "address_2": "SUITE 1",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561254",
            "telephone_number": "541-261-2246",
            "fax_number": "949-224-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 SW 17TH PL",
            "address_2": "SUITE 1",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561254",
            "telephone_number": "541-261-2246",
            "fax_number": "949-224-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KATIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MPT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.