Individual provider Active NPI

Katherine Kaye Kittrell, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1225514938
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33275 Issued in AZ
Practice address
4217 E Pontatoc Dr
Tucson, AZ 85718-6154
Phone
(337) 375-5284
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 LPT-33275 AZ Primary
Physical Therapist 225100000X 10578 LA

Addresses

Primary practice location

4217 E Pontatoc Dr
Tucson, AZ 85718-6154

Mailing address

4217 E Pontatoc Dr
Tucson, AZ 85718-6154

Other identifiers 2

IdentifierTypeStateIssuer
10578OtherLAPT LICENSE
LPT-33275OtherAZPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002914 AZ Practitioner - Physical Therapist in Private Practice 5991174526 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
10578LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jan 13, 2025 Accepting new patients
Apexnetwork Sierra Vista, PLLC Physical Therapist CurrentSince Nov 4, 2022 Accepting new patients
BHSM Rehabilitation LLC CurrentSince Jan 13, 2025 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Multicare Health System Physical Therapist PastSince Nov 1, 2022 Accepting new patients

Locations

569 W 4th St
Benson, AZ 85602
Phone (520) 586-3663

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

2151 S Highway 92
Ste 106
Sierra Vista, AZ 85635
Phone (520) 335-1615

9660 E 22nd St
Ste 180
Tucson, AZ 85748
Phone (520) 543-8001

2800 E Ajo Way
Ste 201
Tucson, AZ 85713
Phone (520) 462-0248

5925 W Arizona Pavilions Dr
Ste 115
Tucson, AZ 85743
Phone (520) 467-7690

265 W Ina Rd
Ste 103
Tucson, AZ 85704
Phone (520) 462-0510

6380 E Grant Rd
Ste 100
Tucson, AZ 85715
Phone (520) 420-1150

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

Organizations & group practices 6

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1225514938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 E PONTATOC DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 E PONTATOC DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186154",
            "telephone_number": "337-375-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTRELL",
        "first_name": "KATHERINE",
        "middle_name": "KAYE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33275",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "10578",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "LPT-33275",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.