Active NPI
Katherine Wisochanski, DPT, PT
- Physical Therapist
- Bala Cynwyd, PA
National Provider Identifier
1376928424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024510
- Practice address
- 100 Presidential Blvd
Bala Cynwyd, PA 19004-1108 - Phone
- (215) 380-3827
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | PT024510 | PA | Primary |
Addresses
Primary practice location
100 Presidential Blvd
Bala Cynwyd, PA 19004-1108
Mailing address
3820 Ronnald Dr
Philadelphia, PA 19154-3508
Phone (215) 380-3827
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT024510 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1376928424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 RONNALD DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191543508",
"telephone_number": "215-380-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108",
"telephone_number": "215-380-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISOCHANSKI",
"first_name": "KATHERINE",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.