Active NPI
Katherine Wallner, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1619380771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0376261
- Practice address
- 99 Wall St Ste 2125
New York, NY 10005-4301 - Phone
- (516) 946-4214
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0376261 | NY | Primary |
Addresses
Primary practice location
99 Wall St Ste 2125
New York, NY 10005-4301
Mailing address
30 Aspen St
Floral Park, NY 11001-3118
Phone (516) 946-4214
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
| License | State | Type | Specialty |
|---|---|---|---|
| 037626 | NY | MD | Dentist |
| 0376261 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab Physical Therapy of Ny, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapist
- New York, NY
- NPI 1073820262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1619380771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ASPEN ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013118",
"telephone_number": "516-946-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 WALL ST STE 2125",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100054301",
"telephone_number": "516-946-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLNER",
"first_name": "KATHERINE",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0376261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.