Katie Andrew, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12761-24 Issued in WI

Practice address

1516 W Mequon Rd
Ste 201
Mequon, WI 53012-3264

Phone

(262) 241-8402

Fax

(262) 241-8403

NPI assigned

Jul 19, 2006

Last updated

Dec 17, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katie Andrew Physical Therapy

  • Rehabilitation Clinic/Center
  • Delafield, WI
  • NPI 1275289951
  NPD Authorized official
• Katie Andrew Physical Therapy

  • Physical Therapy Clinic/Center
  • Delafield, WI
  • NPI 1699240978
  NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1699795393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530123264",
            "telephone_number": "262-241-8402",
            "fax_number": "262-241-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530123264",
            "telephone_number": "262-241-8402",
            "fax_number": "262-241-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-012786",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12761-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Andersen, MS, OTR/L
• Anna Anderson
• Christine Tracy Anderson
• Jack Anderson
• Andrea P Janis-Towey Psychological Services LLC
• Jolene E. Andryk, M.D.
• Angelier Counseling, LLC
• Stephanie Renne Annen, DPT, C/NDT
• Scott Arbit, DMD MS
• Arc Angels Senior Home Care of SE Wi, LLC

• Physical Therapist in Mequon, WI
• Providers in Mequon, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.