Kathleen Mary Ross, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

043020 Issued in NY

Practice address

1250 Niagara St FL 2
Buffalo, NY 14213-1502

Phone

(716) 310-5773

NPI assigned

Dec 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kathleen M Engelhardt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1255970299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DORCHESTER RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221124",
            "telephone_number": "716-310-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 NIAGARA ST FL 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131502",
            "telephone_number": "716-310-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "043020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "ENGELHARDT",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Destiney Marie Ross, LPN
• Dolores Ross
• Emily Ross, PMHNP
• Jason Ross
• Kaleigh Lauren Ross
• Maureen Ross, MD PHD
• Michael Ross
• Richard Ross, D.D.S.
• Shaneek Sweet Ross
• Jonathan Rossi

• Orthopedic Physical Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.