Active NPI
Katelyn Elizabeth Ozdowski, PT, DPT
- Physical Therapist
- Gates, NY
National Provider Identifier
1386150522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047197
- Practice address
- 2300 Buffalo Rd BLDG 300
Gates, NY 14624-1360 - Phone
- (585) 247-0080
- NPI assigned
- Dec 26, 2017
- Last updated
- Apr 19, 2023
- 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 6
| 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 | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3909 | NE | MD | Professional Counselor |
| PTH8619 | AL | 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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Rochester, NY
- NPI 1407910953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1386150522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CHARISMA DR",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170111010",
"telephone_number": "717-514-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 BUFFALO RD BLDG 300",
"city": "GATES",
"state": "NY",
"postal_code": "146241360",
"telephone_number": "585-247-0080"
}
],
"practiceLocations": [
{
"address_1": "706 Ewing St",
"address_purpose": "LOCATION",
"city": "Genoa",
"state": "NE",
"postal_code": "686403035",
"country_code": "US",
"telephone_number": "402-993-4299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Jasmine Trl",
"address_purpose": "LOCATION",
"city": "Prattville",
"state": "AL",
"postal_code": "360663661",
"country_code": "US",
"telephone_number": "334-365-2241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZDOWSKI",
"first_name": "KATELYN",
"middle_name": "ELIZABETH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2023-04-19",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016831",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211056",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH8619",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1297469",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3909",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gates, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.