Individual provider Active NPI

Katelyn Joanne Simanson, DPT

  • Physical Therapist
  • Lebanon, NH
National Provider Identifier
1659090504
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5037 Issued in NH
Practice address
112 Etna Rd
Lebanon, NH 03766-1559
Phone
(603) 643-7788
Fax
(603) 643-0022
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 5037 NH Primary

Addresses

Primary practice location

112 Etna Rd
Lebanon, NH 03766-1559

Mailing address

112 Etna Rd
Lebanon, NH 03766-1559
Phone (603) 643-7788

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie@cioffredi.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Physical Therapy Inc Physical Therapist CurrentSince Jul 27, 2023 Accepting new patients
Lone Peak Physical Therapy Inc. Physical Therapist CurrentSince Jul 27, 2023 Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1659090504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661559",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661559",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANSON",
        "first_name": "KATELYN",
        "middle_name": "JOANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@cioffredi.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "112 Etna Rd",
            "city": "Lebanon",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037661559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.