Individual provider Active NPI

Kathryn Robinson, PT

  • Physical Therapist
  • South Dennis, MA
National Provider Identifier
1356596894
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22691 Issued in MA
Practice address
860 Route 134
South Dennis, MA 02660-2577
Phone
(508) 385-4212
NPI assigned
Nov 25, 2008
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 118454 TX
Physical Therapist 225100000X 22691 MA Primary

Addresses

Primary practice location

860 Route 134
South Dennis, MA 02660-2577

Mailing address

860 Route 134
South Dennis, MA 02660-2577
Phone (508) 385-4212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924001031 MA Practitioner - Physical Therapist in Private Practice 1052465077 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22691MAMDPhysical Therapist
118454TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Aug 23, 2020 Accepting new patients
Physiotherapy Associates Inc PastSince Sep 1, 2024 Accepting new patients
Blacketer Enterprises, Inc Physical Therapist PastSince Sep 1, 2010 Accepting new patients

Locations

4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460

860 Route 134
Ste 5
South Dennis, MA 02660
Phone (508) 385-4212

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1356596894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 ROUTE 134",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602577",
            "telephone_number": "508-385-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 134",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602577",
            "telephone_number": "508-385-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KATHRYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "118454",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.