Active NPI
Katrina Elizabeth Brett, DPT
- Physical Therapy Clinic/Center
- Longview, WA
National Provider Identifier
1548852221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 60657604
- Practice address
- 128 Old Beacon Hill Dr
Longview, WA 98632-5854 - Phone
- (360) 423-4060
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 60657604 | WA | Primary |
Addresses
Primary practice location
128 Old Beacon Hill Dr
Longview, WA 98632-5854
Mailing address
4313 Olympia PL
Longview, WA 98632-5075
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60657604 | WA | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1548852221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4313 OLYMPIA PL",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986325075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 OLD BEACON HILL DR",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986325854",
"telephone_number": "360-423-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETT",
"first_name": "KATRINA",
"middle_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WA",
"license": "60657604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.