Kathryn Taylor Prominski, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT872249 Issued in DC

Practice address

25 Massachusetts Ave NW Ste C500
Washington, DC 20001-1430

Phone

(202) 808-9496

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

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

Practice roles

Locations

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.

• Applied Performance and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1124812359
  NPD
• Washington Wellness Center for Physical Therapy and Sportscare, LLC

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1083980205
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1548740095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MASSACHUSETTS AVE NW STE C500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MASSACHUSETTS AVE NW STE C500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011430",
            "telephone_number": "202-808-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROMINSKI",
        "first_name": "KATHRYN",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": "PT872249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Medical Care Services Inc
• Progressive Physical Therapy Center
• Progressive Physical Therapy, LLC (PHOENIX Rehabilitation and Health Services, LLC)
• Kevin Andrew Prohaska, D.O.
• Nicole Prohaska
• William Edmund Prominski, MD
• Promising Prep LLC
• Aishah Prophet
• Asia Prophet, M.A
• Ernestine D Prophet

• Orthopedic Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Orthopedic Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.