Katie C Qualey, DPT
Individual provider Active NPI Physical Therapist · Glen, NH
NPI 1508395443 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1508395443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4543 (NH)
- Practice address
- 15 US-302
Suite 2
Glen, NH 03838-0383 - Phone
- (603) 383-7009
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 4543 | NH | MD | Physical Therapist |
| PT60752723 | WA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60752723 | WA | |
| Physical Therapist | 225100000X | 4543 | NH | Yes |
Addresses
Primary practice location
15 US-302
Suite 2
Glen, NH 03838-0383
Mailing address
PO Box 116
Ossipee, NH 03864-0116
Other practice location 1
10004 204th Ave E Ste 3100
Bonney Lake, WA 98391-6540
Phone (253) 863-7510
Other providers in Glen, NH
- Cranmore Health Partners, LLC
- Kelly Catherine Defeo
- Noah Aaron Gaudette
- David Gotjen
- Kevin Larochelle
- Robert Richardson
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Erin James Shaffer
- Elisabeth Whitaker
All providers in Glen, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. 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.