Kathryn Waluk

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0002571 Issued in DE

Practice address

256 Barton Ave
Patchogue, NY 11772-1409

Phone

(631) 681-5096

NPI assigned

Aug 21, 2014

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1619376092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BARTON AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721409",
            "telephone_number": "631-681-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BARTON AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721409",
            "telephone_number": "631-681-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALUK",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "0002571",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "004774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rose Walter
• Gabrielle Nicole Walters, MS, PA-C
• Janeen L Walthall
• Mica Walthall, LPN
• Kathryn Elizabeth Walton, PA-C
• Kimberly Ward-Quinn, LMSW
• Paula K Waring, LCSW-R, CASAC
• Allan Warren
• Diane Marie Warren, RN
• Colleen M Washington, LMHC

• Physical Therapist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.