Individual provider Active NPI

Katie Jo Houghtaling, MSPT

  • Physical Therapist
  • Wexford, PA
National Provider Identifier
1356596340
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2804 Issued in ME
Practice address
5500 Brooktree Rd
Wexford, PA 15090-9260
Phone
(800) 677-1238
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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 PT2804 ME Primary

Addresses

Primary practice location

5500 Brooktree Rd
Wexford, PA 15090-9260

Mailing address

5500 Brooktree Rd
Wexford, PA 15090-9260
Phone (800) 677-1238

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2804MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc Current Accepting new patients

Locations

165 Capitol St
Augusta, ME 04330
Phone (207) 623-1170

498 Essex St
Ste 104
Bangor, ME 04401
Phone (207) 947-0768

175 Portland Rd
Ste 4
Bridgton, ME 04009
Phone 2077777740 ext. 5225

1073 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-0200

176 Livermore Falls Rd
Farmington, ME 04938
Phone 2077777740 ext. 3208

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

72 Strawberry Ave
Lewiston, ME 04240
Phone (207) 782-2150

710 Main St
#1
Lewiston, ME 04240
Phone (207) 741-1345

39 Main St
Ste 3
Norway, ME 04268
Phone 2077777740 ext. 6202

181 Academy St
Ste 6
Presque Isle, ME 04769
Phone (207) 741-1050

180 Main St
Waterville, ME 04901
Phone (207) 458-3759

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1356596340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "800-677-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROOKTREE RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909260",
            "telephone_number": "800-677-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTALING",
        "first_name": "KATIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.