Katherine Colletto, P.T.
Individual provider Active NPI Physical Therapist · Granada Hills, CA
NPI 1477511376 · NPPES record last updated Feb 10, 2011
Key facts
- NPI
- 1477511376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6758 (CA)
- Practice address
- 16692 Knollwood Dr
Granada Hills, CA 91344-2621 - Phone
- (818) 368-2942
- Fax
- (818) 368-2942
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6758 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6758 | CA | Yes |
Addresses
Primary practice location
16692 Knollwood Dr
Granada Hills, CA 91344-2621
Mailing address
16692 Knollwood Dr
Granada Hills, CA 91344-2621
Phone (818) 368-2942
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT6758 | Other | CA | LICENSE TO PRACTICE |
Other names
- Katherine Prentice
Other providers in Granada Hills, CA
- Clarity Counseling and Therapy Group
- Laveita Clay
- Lorenzo Jose Co
- Leanne Cohen
- Thomas Russell Coleman
- Community Integration Services Inc.
- Complete Total Care
- Concise Medical Services and Consulting
- Consumerhealth, Inc.
- Consumerhealth, Inc.
All providers in Granada Hills, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.