Katelyn Clary

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Practice address

430 Manor Dr
Suring, WI 54174-9182

Phone

(920) 842-2191

NPI assigned

Aug 17, 2020

Last updated

Aug 17, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1669084273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 LENWOOD AVE APT 7",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MANOR DR",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749182",
            "telephone_number": "920-842-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay at Woodlands Home Health LLC (Woodlands Home Health)
• Lori Ann Beaumier, P.T.A.
• Bellin Memorial Hospital Inc (FMC Suring)
• Christine L Berndt, APNP
• Laura Blawat, RN
• Community Memorial Hospital
• Cook Chiropractic Office LLC
• Bruce Douglas Cook, D.C.
• Janet Lee Glime, RN
• Julia Heckl, RN

• Geriatric Physical Therapist in Suring, WI
• Providers in Suring, WI by specialty
• Geriatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.