Individual provider Active NPI

Katherine Sartorius, PT,DPT

  • Physical Therapist
  • Jefferson City, MO
National Provider Identifier
1447020367
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2014027007 Issued in MO
Practice address
3507 Amazonas Dr
Jefferson City, MO 65109-6821
Phone
(573) 761-9178
Fax
(573) 681-3719
NPI assigned
Jan 2, 2024
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 2014027007 MO Primary

Addresses

Primary practice location

3507 Amazonas Dr
Jefferson City, MO 65109-6821

Mailing address

3507 Amazonas Dr
Jefferson City, MO 65109-6821
Phone (573) 761-9178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002269 MO Practitioner - Physical Therapist in Private Practice 2365885225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians

Practice addresses (Care Compare)

2505 Mission Dr
Suite 130
Jefferson City, MO 65109-9508
Phone (573) 681-3585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014027007MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services Current Accepting new patients
SSM Regional Health Services CurrentSince Jan 2, 2024 Accepting new patients
SSM Regional Health Services Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

3507 Amazonas Dr
Jefferson City, MO 65109
Phone (573) 761-9178

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

Organizations & group practices 3

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": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1447020367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 AMAZONAS DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096821",
            "telephone_number": "573-761-9178",
            "fax_number": "573-681-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 AMAZONAS DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096821",
            "telephone_number": "573-761-9178",
            "fax_number": "573-681-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTORIUS",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014027007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.