Holly Sue Katchuk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002103 Issued in WV

Practice address

717 N Jefferson Street
Lewisburg, WV 24901

Phone

(304) 645-2525

Fax

(304) 645-2525

NPI assigned

Jul 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Greenbrier Valley Physical Therapy, LLC

  • Specialist
  • Ronceverte, WV
  • NPI 1407946932
  NPD (past)
• Greenbrier Valley Physical Therapy, LLC

  • Physical Therapist
  • Lewisburg, WV
  • NPI 1619260353
  NPD (past)
• West Virginia Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Lewisburg, WV
  • NPI 1558371328
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558376285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N JEFFERSON STREET",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-645-2525",
            "fax_number": "304-645-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N JEFFERSON STREET",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-645-2525",
            "fax_number": "304-645-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHUK",
        "first_name": "HOLLY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE CROSS",
            "identifier": "001712692",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910001442",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Curry Jones
• Leah Jones
• Monica Jones
• Susan Leigh Kadel
• Magdalen Karrs, DPT
• Irene Kaufmann
• Jacob Keaton
• Savannah June Keffer, DO
• Christopher Paul Kennedy, DO
• Mary Kesecker

• Physical Therapist in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.