Katherine Fagan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6486 Issued in TN

Practice address

143 E Prince St
Gallatin, TN 37066-2880

Phone

(615) 334-6983

Fax

(615) 581-0245

NPI assigned

Feb 12, 2020

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

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1578196036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026A HIGHWAY 31 W",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371888960",
            "telephone_number": "615-533-2354",
            "fax_number": "615-581-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E PRINCE ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662880",
            "telephone_number": "615-334-6983",
            "fax_number": "615-581-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferdinand S Espeleta, M.D.
• Frank C. Etlinger, D.C.
• Excel Physical Rehabilitation, LLC
• Faces of Hope Children'S Therapy Center
• Fagan Geriatric Wellness and Rehabilitation
• William T Faith, M.D.
• Kadene Kimani Falconer, DDS
• Family Chiropractic Center
• Family Health Care of Gallatin
• Weishan Fan

• Physical Therapist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.