Katelyn Pavone, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0392121 Issued in NY

Practice address

146 Birch Hill Rd
Locust Valley, NY 11560-1833

Phone

(516) 759-9717

NPI assigned

May 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1508213653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 VALLEY AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602013",
            "telephone_number": "516-945-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-759-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVONE",
        "first_name": "KATELYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0392121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Newman, M.S., L.AC.
• North Shore Neurofeedback
• Ny Speech Pathology Consultants, P.C.
• Katelyn Madeline Paige, M.S., CCC-SLP, CBIS
• Joyce Pauporte, M.D
• Rita Piechucki, LCSW ACSW
• Podiatry Treatment Services PLLC
• Kasey Pote
• Frances C Praver, PHD
• Joanne Recca, L.AC

• Physical Therapist in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.