Individual provider Active NPI

Vimla B. Katara, P.T.

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1619081783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00001092 Issued in WA
Practice address
18506 NW Montreux Dr
Issaquah, WA 98027-7871
Phone
(425) 401-8182
Fax
(425) 401-8182
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT00001092 WA Primary

Addresses

Primary practice location

18506 NW Montreux Dr
Issaquah, WA 98027-7871

Mailing address

18506 NW Montreux Dr
Issaquah, WA 98027-7871
Phone (425) 401-8182

Other identifiers 1

IdentifierTypeStateIssuer
7050719MedicaidWA

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
PT00001092WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vimla B Katara Madison Physical Therapy Clinic Physical Therapist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619081783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18506 NW MONTREUX DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277871",
            "telephone_number": "425-401-8182",
            "fax_number": "425-401-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18506 NW MONTREUX DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277871",
            "telephone_number": "425-401-8182",
            "fax_number": "425-401-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARA",
        "first_name": "VIMLA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00001092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7050719",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • 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.