Active NPI
Kathryn Traugh, PTA
- Physical Therapy Assistant
- Canton, OH
National Provider Identifier
1306623707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 008863
- Practice address
- 4695 Whipple Ave NW
Canton, OH 44718-2649 - Phone
- (330) 451-6412
- Fax
- (833) 972-1925
- NPI assigned
- Sep 11, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 008863 | OH | Primary |
Addresses
Primary practice location
4695 Whipple Ave NW
Canton, OH 44718-2649
Mailing address
734 Ellwood Ave SW
Canton, OH 44710-1210
Phone (330) 309-7062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008863 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bekidspt LLC | Physical Therapy Assistant | Current | Accepting new patients |
Locations
4695 Whipple Ave NW
Canton, OH 44718
Phone (234) 271-5066
Organizations & group practices 1
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": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1306623707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 ELLWOOD AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101210",
"telephone_number": "330-309-7062",
"fax_number": "833-972-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4695 WHIPPLE AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182649",
"telephone_number": "330-451-6412",
"fax_number": "833-972-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUGH",
"first_name": "KATHRYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "008863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.