Katie Lacroix, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00270 Issued in RI

Practice address

1539 Atwood Ave
Suite 202
Johnston, RI 02919-3262

Phone

(401) 351-0515

Fax

(401) 351-0530

NPI assigned

Aug 3, 2009

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 1

Other names 1

• Katie E. Blanchard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1558592980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20372",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200944",
            "telephone_number": "401-785-1016",
            "fax_number": "401-785-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE",
            "address_2": "SUITE 202",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-351-0515",
            "fax_number": "401-351-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "KATIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT00270",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BLANCHARD",
            "middle_name": "E.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maulik Kotdawala, DMD
• Kevin Kretchman, LCDP, LCDS
• Andrew M Krichak II
• Habiba H. Kure, FNP
• Mellissa Rose Lacroix Dwyer, LCSW
• Morgan E Lafrance, LCSW
• Katherine Lagasse, MOT, OTR, COTA
• Diana Suk Wah Lam, NP
• Joseph L. Lancellotti, D.C.
• Joshua R Lancellotti, DC

• Physical Therapist in Johnston, RI
• Providers in Johnston, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.