Individual provider Active NPI

Katherine Elaine Croxton, DPT, ATC

  • Physical Therapist
  • Charles Town, WV
National Provider Identifier
1487925251
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 003009 Issued in WV
Practice address
46 Trifecta PL
Suite 104
Charles Town, WV 25414-4958
Phone
(304) 728-9090
Fax
(304) 728-9087
NPI assigned
Jan 25, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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 003009 WV Primary

Addresses

Primary practice location

46 Trifecta PL
Suite 104
Charles Town, WV 25414-4958

Mailing address

46 Trifecta PL
Suite 104
Charles Town, WV 25414-4958
Phone (304) 728-9090

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

LicenseStateTypeSpecialty
10097TNMDClinical Social Worker
PT 003009WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab of West Virginia, LLC Physical Therapist PastSince Oct 31, 2012 Accepting new patients

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, 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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1487925251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 TRIFECTA PL",
            "address_2": "SUITE 104",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144958",
            "telephone_number": "304-728-9090",
            "fax_number": "304-728-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TRIFECTA PL",
            "address_2": "SUITE 104",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144958",
            "telephone_number": "304-728-9090",
            "fax_number": "304-728-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROXTON",
        "first_name": "KATHERINE",
        "middle_name": "ELAINE",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT 003009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.