Kathryn E Villarreal, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT017253 Issued in PA

Practice address

8076 Windward Key Dr
Chesapeake Beach, MD 20732-3185

Phone

(410) 934-4028

Fax

(410) 609-9968

NPI assigned

Feb 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physicians Rehabilitation Services, PC

  • Physical Therapist
  • Flourtown, PA
  • NPI 1366657850
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1285609362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8076 WINDWARD KEY DR",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323185",
            "telephone_number": "109-344-0284",
            "fax_number": "410-609-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8076 WINDWARD KEY DR",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323185",
            "telephone_number": "410-934-4028",
            "fax_number": "410-609-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "29259",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT017253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kv@ahcpt.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "AH Concierge Physical Therapy LLC",
            "address_1": "8076 Windward Key Dr",
            "city": "Chesapeake Beach",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207323185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Ann Steele, LICSW
• Courtney Sutton
• Haley Taylor, CLD
• Cheryl Thompson, MS, CCC-SLP
• Hiang My To, PHARM. D
• Lori Lee Ward, PHARMD
• What Moves You - Physical Therapy Yoga & Wellness LLC
• Paige Wilde, DPT
• Alison Zick, M.A., CCC-SLP

• Orthopedic Physical Therapist in Chesapeake Beach, MD
• Providers in Chesapeake Beach, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.