Individual provider Active NPI

Katherine Diane McKay, PT, DPT

  • Physical Therapist
  • North Olmsted, OH
National Provider Identifier
1427415975
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.015002 Issued in OH
Practice address
4724 Dover Center Rd
North Olmsted, OH 44070-2608
Phone
(440) 937-6201
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.015002 OH Primary

Addresses

Primary practice location

4724 Dover Center Rd
North Olmsted, OH 44070-2608

Mailing address

32900 Detroit Rd
Avon, OH 44011-2018
Phone (440) 937-6201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920001403 OH Practitioner - Physical Therapist in Private Practice 7719384692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Chiropractic Center IncGroup PAC ID 4981678117, 2 clinicians

Practice addresses (Care Compare)

684 Avon Belden Rd
Suite B
Avon Lake, OH 44012-4111
Phone (440) 930-5537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.015002OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Chiropractic Center Inc Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients

Locations

684 Avon Belden Rd
Ste B
Avon Lake, OH 44012
Phone (440) 930-5537

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1427415975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32900 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112018",
            "telephone_number": "440-937-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 DOVER CENTER RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702608",
            "telephone_number": "440-937-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "KATHERINE",
        "middle_name": "DIANE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.015002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.