Kathryn Marie Chovanec, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004770 Issued in GA

Practice address

6955 S Union Park Ctr Ste 400
Cottonwood Heights, UT 84047-4192

Phone

(866) 474-6677

NPI assigned

Jan 29, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1619620747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 S UNION PARK CTR STE 400",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840474192",
            "telephone_number": "866-474-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 S UNION PARK CTR STE 400",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840474192",
            "telephone_number": "866-474-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOVANEC",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Expressive Therapies
• Amy Chamberlain
• William Jordan Charles
• Madelyn CHI
• Ibrahim Mohammad Choudhary
• Haley Anne Christensen, RDN
• Katelyn Michael Christensen, SLT
• Savanna J Christensen
• Ariana Grace Christianson
• Marcia Rauch Christie, KS

• Physical Therapy Assistant in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Physical Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.