Individual provider Active NPI

Katherine Patricia Hettrich, MPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1548355316
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT44127 Issued in FL
Practice address
125 Red Creek Dr
Suite 210
Rochester, NY 14623-4272
Phone
(585) 334-8104
Fax
(585) 334-8104
NPI assigned
Oct 4, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17463 NY
Physical Therapist 225100000X PT44127 FL Primary

Addresses

Primary practice location

125 Red Creek Dr
Suite 210
Rochester, NY 14623-4272

Mailing address

121 Cape Cod Way
Rochester, NY 14623-5403
Phone (585) 230-9267

Other identifiers 1

IdentifierTypeStateIssuer
11225860OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000178 NY Practitioner - Physical Therapist in Private Practice 9638123680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT44127FLMDPhysical Therapist
17463NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy, PLLC Physical Therapist CurrentSince Feb 9, 2022 Accepting new patients

Locations

540 White Spruce Blvd
Rochester, NY 14623
Phone (585) 427-7190

Networks

  • Optimum HealthCare HMO Network

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1548355316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CAPE COD WAY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146235403",
            "telephone_number": "585-230-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RED CREEK DR",
            "address_2": "SUITE 210",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234272",
            "telephone_number": "585-334-8104",
            "fax_number": "585-334-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTRICH",
        "first_name": "KATHERINE",
        "middle_name": "PATRICIA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "17463",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11225860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.