Active NPI
Kathy Lea Tate, DPT
- Physical Therapist
- Maywood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01502000
- Practice address
- 141 W Pleasant Ave
Maywood, NJ 07607-1333 - Phone
- (201) 843-0026
- Fax
- (201) 843-0032
- NPI assigned
- Aug 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0033872-1 | NY | |
| Physical Therapist | 225100000X | 40QA01502000 | NJ | Primary |
Addresses
Primary practice location
141 W Pleasant Ave
Maywood, NJ 07607-1333
Mailing address
8 Craven Rd
Mountain Lakes, NJ 07046-1424
Phone (201) 344-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1739 W Sunset Blvd
St George, UT 84770-7141
Phone (435) 634-6080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033872-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Physical Therapist | Current | Accepting new patients |
| Motion Ut, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Madison PT of New Jersey, PC | Physical Therapist | Past | Accepting new patients |
| Madison Spine and Physicaltherapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
4554 Forestdale Dr
Unit C16
Park City, UT 84098
Phone (435) 494-1336
5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050
1739 W Sunset Blvd
St George, UT 84770
Phone (435) 634-6000
652 S Medical Center Dr
Ste LL10
St George, UT 84790
Phone (435) 251-2250
Organizations & group practices 5
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.
-
dba Intermountain Physical Therapy and Rehabilitation
- Rehabilitation Clinic/Center
- Salt Lake City, UT
- NPI 1033822085
Physical Therapist
-
- Physical Therapy Clinic/Center
- Park City, UT
- NPI 1518574177
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Physical Therapist
- Westwood, NJ
- NPI 1740369347
-
- Physical Therapist
- New Milford, NJ
- NPI 1063591659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1376821926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CRAVEN RD",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070461424",
"telephone_number": "201-344-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 W PLEASANT AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071333",
"telephone_number": "201-843-0026",
"fax_number": "201-843-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "KATHY",
"middle_name": "LEA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0033872-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01502000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.