Active NPI
Katherine Kaye Kittrell, DPT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-33275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10578 | Other | LA | PT LICENSE |
| LPT-33275 | Other | AZ | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10578 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Apexnetwork Sierra Vista, PLLC | Physical Therapist | Current | Accepting new patients |
| BHSM Rehabilitation LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Multicare Health System | Physical Therapist | Past | 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.
-
- Physical Therapist
- Sierra Vista, AZ
- NPI 1083098677
-
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapy Clinic/Center
- Casa Grande, AZ
- NPI 1679098628
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
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.