Kathryn Paine, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295651 Issued in CA

Practice address

8720 Anzio St Apt a
Fort Irwin, CA 92310-2497

Phone

(831) 359-2573

NPI assigned

Aug 23, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Fox Rehabilitation Services TN LLCGroup PAC ID 8921363771, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fox Rehabilitation Services TN LLC

  • Physical Therapist
  • Spring Hill, TN
  • NPI 1710406491
  Medicare reassignment Care Compare group NPD
• Sango Movement Lab LLC

  • Multi-Specialty Clinic/Center
  • Clarksville, TN
  • NPI 1629913751
  NPD Authorized official

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1568917136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 ANZIO ST APT A",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 ANZIO ST APT A",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923102497",
            "telephone_number": "831-359-2573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 Scarborough Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207502",
            "country_code": "US",
            "telephone_number": "719-630-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Building 390, north loop rd",
            "address_purpose": "LOCATION",
            "city": "Fort Irwin",
            "state": "CA",
            "postal_code": "92310",
            "country_code": "US",
            "telephone_number": "866-957-9224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINE",
        "first_name": "KATHRYN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Lauren Ollison
• Zoraida A. Oquendo
• Miguel Ortiz Lopez, PA
• Ospweed Armycommunity
• Richard Berrett Pace, MD
• Jin Woo Pak
• Megan Marie Parent
• Crystal Rose Parker
• Claudia Berenice Pascua, RDH
• Ryan Steven Payne

• Physical Therapist in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.