Individual provider Active NPI

Katharine L Gaj, DPT, OCS, COMT, ATC

  • Orthopedic Physical Therapist
  • Elkhart, IN
National Provider Identifier
1679916506
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
05006852A Issued in IN
Practice address
200 E Jackson Blvd Ste 150
Elkhart, IN 46516-3513
Phone
(574) 389-5558
Fax
(574) 389-5559
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05006852A IN Primary

Addresses

Primary practice location

200 E Jackson Blvd Ste 150
Elkhart, IN 46516-3513

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice location 1

100 Wellness center
South Bend, IN 46556
Phone (574) 634-9355

Other practice location 2

900 I St Ste 100
LA Porte, IN 46350-5533
Phone (219) 324-1730

Other practice location 3

2222 Rieth Blvd Ste 103
Goshen, IN 46526-5869
Phone (574) 875-9616

Other practice location 4

3221 Beacon Pkwy Ste 100
Granger, IN 46530-7196
Phone (574) 647-2930

Other practice location 5

1815 E Ireland Rd Ste 100
South Bend, IN 46614-2845
Phone (574) 647-5790

Other identifiers 1

IdentifierTypeStateIssuer
300126749MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000715 IN Practitioner - Physical Therapist in Private Practice 4688809015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health, LLC CurrentSince Mar 8, 2026 Accepting new patients
Connecticut General Life Insurance Company Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

200 E Jackson Blvd
Ste 150
Elkhart, IN 46516
Phone (574) 389-5558

2222 Rieth Blvd
Ste 103
Goshen, IN 46526
Phone (574) 875-9616

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

3221 Beacon Pkwy
Ste 100
Granger, IN 46530
Phone (574) 647-2930

900 I St
#100
Laporte, IN 46350
Phone (219) 324-1730

1815 E Ireland Rd
#100
South Bend, IN 46614
Phone (574) 647-5790

Organizations & group practices 3

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1679916506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JACKSON BLVD STE 150",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163513",
            "telephone_number": "574-389-5558",
            "fax_number": "574-389-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wellness center",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "46556",
            "country_code": "US",
            "telephone_number": "574-634-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 I St Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505533",
            "country_code": "US",
            "telephone_number": "219-324-1730",
            "fax_number": "219-324-1735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Rieth Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-875-9616",
            "fax_number": "574-875-9817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3221 Beacon Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465307196",
            "country_code": "US",
            "telephone_number": "574-647-2930",
            "fax_number": "574-647-2935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 E Ireland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466142845",
            "country_code": "US",
            "telephone_number": "574-647-5790",
            "fax_number": "574-647-5792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAJ",
        "first_name": "KATHARINE",
        "middle_name": "L",
        "credential": "DPT, OCS, COMT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05006852A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300126749",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.