Katelyn Elizabeth Ozdowski, PT, DPT
Individual provider Active NPI Physical Therapist · Gates, NY
NPI 1386150522 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1386150522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 047197 (NY)
- Practice address
- 2300 Buffalo Rd BLDG 300
Gates, NY 14624-1360 - Phone
- (585) 247-0080
- NPI assigned
- Dec 26, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210723000245 | NY | Practitioner - Physical Therapist in Private Practice | 3173865813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3909 | NE | MD | Professional Counselor |
| PTH8619 | AL | MD | Physical Therapist |
| 047197 | NY | MD | Physical Therapist |
| PT016831 | OH | MD | Physical Therapist |
| 1297469 | TX | MD | Physical Therapist |
| 2305211056 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Valley Physical Therapy & Sports Rehab., P.C. | Physical Therapist | Current |
Accepting new patients |
Locations
2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080
Interoperability endpoints
- kozdowski741704@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016831 | OH | |
| Physical Therapist | 225100000X | 2305211056 | VA | |
| Physical Therapist | 225100000X | PTH8619 | AL | |
| Physical Therapist | 225100000X | 1297469 | TX | |
| Physical Therapist | 225100000X | 3909 | NE | |
| Physical Therapist | 225100000X | 047197 | NY | Yes |
Addresses
Primary practice location
2300 Buffalo Rd BLDG 300
Gates, NY 14624-1360
Mailing address
5 Charisma Dr
Camp Hill, PA 17011-1010
Phone (717) 514-2141
Other practice location 1
706 Ewing St
Genoa, NE 68640-3035
Phone (402) 993-4299
Other practice location 2
601 Jasmine Trl
Prattville, AL 36066-3661
Phone (334) 365-2241
Other providers in Gates, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.