Active NPI
Katherine Ellen Pecson, P.T.
- Physical Therapist
- Martinez, CA
National Provider Identifier
1366017790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21176
- Practice address
- 150 Muir Rd.
Martinez, CA 94553 - Phone
- (925) 372-2000
- NPI assigned
- May 27, 2021
- Last updated
- May 27, 2021
- 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 Therapist | 225100000X | PT21176 | CA | Primary |
Addresses
Primary practice location
150 Muir Rd.
Martinez, CA 94553
Mailing address
2839 Johnson Ave.
Alameda, CA 94501
Phone (510) 205-3324
Other names 1
- Katie Laudsberg
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1366017790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2839 JOHNSON AVE.",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "94501",
"telephone_number": "510-205-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUIR RD.",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-372-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECSON",
"first_name": "KATHERINE",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "LAUDSBERG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.