Individual provider Active NPI

Katherine A Resop, DPT

  • Physical Therapist
  • Desoto, TX
National Provider Identifier
1356649586
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1200767 Issued in TX
Practice address
951 York Dr
Suite 103
Desoto, TX 75115
Phone
(469) 727-7246
Fax
(469) 727-7833
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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 1200767 TX Primary
Physical Therapist 225100000X 36939 CA

Addresses

Primary practice location

951 York Dr
Suite 103
Desoto, TX 75115

Mailing address

808 E Merrill Ave
Fond Du Lac, WI 54935-2938
Phone (920) 539-0925

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

LicenseStateTypeSpecialty
36939CAMDGeneral Practice Dentistry
1200767TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1356649586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E MERRILL AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549352938",
            "telephone_number": "920-539-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 YORK DR",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "469-727-7246",
            "fax_number": "469-727-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESOP",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1200767",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.