Individual provider Active NPI

Katherine Marie Covault, DC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1255663456
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4140 Issued in OH
Practice address
4810 W Broad St
Columbus, OH 43228-1602
Phone
(614) 878-3533
Fax
(866) 713-4492
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011959 NY
Chiropractor 111N00000X 4140 OH Primary

Addresses

Primary practice location

4810 W Broad St
Columbus, OH 43228-1602

Mailing address

4810 W Broad St
Columbus, OH 43228-1602
Phone (614) 878-3533

Other identifiers 1

IdentifierTypeStateIssuer
0051999MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130222000416 OH Practitioner - Chiropractic 5799930780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic Associates of NewGroup PAC ID 7911288071, 2 clinicians

Practice addresses (Care Compare)

4810 W Broad St
Columbus, OH 43228-1602
Phone (614) 878-3533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011959NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Physicians Group LLC CurrentSince Mar 13, 2024 Accepting new patients
Chiropractic Associates of New Chiropractor CurrentSince Dec 4, 2012 Accepting new patients
Zanesville Chiropractic, Inc Chiropractor PastSince Jun 28, 2020 Accepting new patients

Locations

1015 S Court St
Unit A
Circleville, OH 43113
Phone (740) 474-2921

4810 W Broad St
Columbus, OH 43228
Phone (614) 878-3533

6189 Memorial Dr
Dublin, OH 43017
Phone (614) 515-2500

4995 Bradenton Ave
Ste 110
Dublin, OH 43017
Phone (614) 515-2500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1255663456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281602",
            "telephone_number": "614-878-3533",
            "fax_number": "866-713-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281602",
            "telephone_number": "614-878-3533",
            "fax_number": "866-713-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVAULT",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011959",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.