Active NPI
Kate Elizabeth Dodge
- Physical Therapist
- Pembroke, MA
National Provider Identifier
1518441245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23742
- Practice address
- 295 Old Oak St
Pembroke, MA 02359-1955 - Phone
- (857) 444-1200
- Fax
- (857) 995-5022
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 23742 | MA | Primary |
Addresses
Primary practice location
295 Old Oak St
Pembroke, MA 02359-1955
Mailing address
250 E Main St
Norton, MA 02766-2436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23742 | Other | MA | PT LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1518441245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 OLD OAK ST",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "023591955",
"telephone_number": "857-444-1200",
"fax_number": "857-995-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "KATE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "23742",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.