Katherine Dakuri, PTA, BS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6785 Issued in TN

Practice address

1173 Rock Springs Rd Ste 105
Smyrna, TN 37167-8414

Phone

(615) 220-5796

NPI assigned

Nov 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Feltz Therapy Services, LLC

  • Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1730165184
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1417425174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 VERNON TRAYLOR DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 ROCK SPRINGS RD STE 105",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678414",
            "telephone_number": "615-220-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604354912",
            "country_code": "US",
            "telephone_number": "815-729-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAKURI",
        "first_name": "KATHERINE",
        "credential": "PTA, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-10",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6785",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.007107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.