Individual provider Active NPI

Katelyn Elizabeth Ozdowski, PT, DPT

  • Physical Therapist
  • Gates, NY
National Provider Identifier
1386150522
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047197 Issued in NY
Practice address
2300 Buffalo Rd BLDG 300
Gates, NY 14624-1360
Phone
(585) 247-0080
NPI assigned
Dec 26, 2017
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210723000245 NY Practitioner - Physical Therapist in Private Practice 3173865813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3909NEMDProfessional Counselor
PTH8619ALMDPhysical Therapist
PT016831OHMDPhysical Therapist
1297469TXMDPhysical Therapist
2305211056VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Physical Therapy & Sports Rehab., P.C. Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients

Locations

2300 Buffalo Rd
Bldg 300A
Rochester, NY 14624
Phone (716) 247-0080

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.