Individual provider Active NPI

Katarina Frazier, PT

  • Physical Therapist
  • Pittsfield, MA
National Provider Identifier
1295345288
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1000 North St
Pittsfield, MA 01201-1585
Phone
(413) 499-7186
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1000 North St
Pittsfield, MA 01201-1585

Mailing address

14 Broad St Apt 4
Pittsfield, MA 01201-6959
Phone (781) 854-6591

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228001299 CT Practitioner - Physical Therapist in Private Practice 1557752649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physical Occupational and Speech Therapy of CT LLCGroup PAC ID 0042604407, 13 clinicians

Practice addresses (Care Compare)

14 Clara Dr
Suite 3
Mystic, CT 06355-1973
Phone (860) 845-0851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Physical Therapy, LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Metro Physical Occupational and Speech Therapy of CT LLC Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients

Locations

969 Poquonnock Rd
Groton, CT 06340
Phone (860) 967-7342

14 Clara Dr
Ste 3
Mystic, CT 06355
Phone (860) 245-0851

80 Norwich New London Tpke
Ste 2E
Uncasville, CT 06382
Phone (860) 425-8740

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 2

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1295345288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROAD ST APT 4",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016959",
            "telephone_number": "781-854-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012011585",
            "telephone_number": "413-499-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "KATARINA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.