Individual provider Active NPI

Katrina Anderson Bostron, PT

  • Physical Therapist
  • Jackson, KY
National Provider Identifier
1619029451
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002877 Issued in KY
Practice address
695 Ky Hwy 15N
Suite 3
Jackson, KY 41339
Phone
(606) 666-9293
Fax
(606) 666-9220
NPI assigned
Jan 18, 2007
Last updated
Apr 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002877 KY Primary

Addresses

Primary practice location

695 Ky Hwy 15N
Suite 3
Jackson, KY 41339

Mailing address

PO Box 803
Jackson, KY 41339-0803
Phone (606) 666-9293

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002877KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watts Healthcare Solutions PLLC Physical Therapist CurrentSince Jun 7, 2020 Accepting new patients
Campton Physical Therapy Physical Therapist PastSince Sep 2, 2002 Accepting new patients

Locations

695 Highway 15 N
Ste 3
Jackson, KY 41339
Phone (606) 666-9243

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1619029451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413390803",
            "telephone_number": "606-666-9293",
            "fax_number": "606-666-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 KY HWY 15N",
            "address_2": "SUITE 3",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "41339",
            "telephone_number": "606-666-9293",
            "fax_number": "606-666-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTRON",
        "first_name": "KATRINA",
        "middle_name": "ANDERSON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.