Active NPI
Katia Jolly, OTR/L, PT, DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1699051409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034140-1
- Practice address
- 972 E 88TH St
Suite 4
Brooklyn, NY 11236-3949 - Phone
- (347) 203-7700
- NPI assigned
- Oct 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 63017099 | NY | |
| Physical Therapist | 225100000X | 034140-1 | NY | Primary |
Addresses
Primary practice location
972 E 88TH St
Suite 4
Brooklyn, NY 11236-3949
Mailing address
942 E 87TH St
Brooklyn, NY 11236-3909
Phone (347) 391-5060
Other names 1
- Katia J Souverain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250506002763 | FL | Practitioner - Occupational Therapist in Private Practice | 4981865904 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Stranssner Dr
Brentwood, MO 63144-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034140-1 | NY | MD | Physical Therapist |
| 63017099 | NY | MD | Occupational Therapist |
| 017099 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Florida, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Florida, LLC | Current | Accepting new patients | |
| Kore OT & PT, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
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.
-
- Multi-Specialty Clinic/Center
- Stuart, FL
- NPI 1184257602
Physical Therapist
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1477245892
-
- Physical Therapist
- Brooklyn, NY
- NPI 1417369380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1699051409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 E 87TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363909",
"telephone_number": "347-391-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 E 88TH ST",
"address_2": "SUITE 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363949",
"telephone_number": "347-203-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLY",
"first_name": "KATIA",
"credential": "OTR/L, PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63017099",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034140-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIA",
"last_name": "SOUVERAIN",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.