Active NPI
Katherine Colletto, P.T.
- Physical Therapist
- Granada Hills, CA
National Provider Identifier
1477511376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6758
- Practice address
- 16692 Knollwood Dr
Granada Hills, CA 91344-2621 - Phone
- (818) 368-2942
- Fax
- (818) 368-2942
- NPI assigned
- May 2, 2006
- Last updated
- Feb 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6758 | CA | Primary |
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 names 1
- Katherine Prentice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6758 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1477511376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16692 KNOLLWOOD DR",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442621",
"telephone_number": "818-368-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16692 KNOLLWOOD DR",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442621",
"telephone_number": "818-368-2942",
"fax_number": "818-368-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETTO",
"first_name": "KATHERINE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "PRENTICE",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Granada Hills, CA
- Clarity Counseling and Therapy Group
- Laveita Clay
- Lorenzo Jose Co, PT
- Leanne Cohen, LCSW
- Thomas Russell Coleman, MA CCC-SLP
- Community Integration Services Inc.
- Complete Total Care
- Concise Medical Services and Consulting
- Consumerhealth, Inc. (Newport Dental - Granada Hills (ORHTO))
- Consumerhealth, Inc. (Newport Dental - Granada Hills)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.