Katherine Anna Brandolini, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010398A Issued in IN

Practice address

10412 Allisonville Rd Ste 112
Fishers, IN 46038

Phone

(317) 288-7763

Fax

(317) 288-7765

NPI assigned

Jun 27, 2006

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

Other identifiers 2

Other names 1

• Ms. Katherine Anna Mount Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hope PT LLC

  • Physical Therapy Clinic/Center
  • Fishers, IN
  • NPI 1265861975
  Medicare reassignment
• Ampt Advanced Manual Physical Therapy Specialty PT Clinics, LLC

  dba AMPT, LLC and Manual Therapy Associates

  • Orthopedic Physical Therapist
  • Indianapolis, IN
  • NPI 1285819664
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1538196183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15610 MEITH ST",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460409609",
            "telephone_number": "941-302-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD STE 112",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "317-288-7763",
            "fax_number": "317-288-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDOLINI",
        "first_name": "KATHERINE",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010398A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "05010398A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PT 21993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MOUNT",
            "middle_name": "ANNA",
            "prefix": "MS.",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rayshawn Sierra Bradshaw
• Sheldon Brady
• Mallory Jane Bragg, FNP-C
• Melissa S Branam, M.A., CCC-A
• Branches Residential Services
• Brands Counseling & Consulting
• Barbara Brands, LCSW
• Maggie I Branham, LMHC
• Bravia Services LLC
• Jessica Nicole Bray

• Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.