Katie Dean
Individual provider Active NPI Physical Therapist · Dededo, GU
NPI 1740139591 · NPPES record last updated Jan 26, 2026
Key facts
- NPI
- 1740139591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 30609 (MD)
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 645-5500
- NPI assigned
- Jan 26, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30609 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30609 | MD | Yes |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929-6911
Mailing address
PO Box 290923
Yigo, GU 96929-3045
Other practice location 1
224 Farenholt Ave
Tamuning, GU 96913-3224
Phone (671) 647-0110
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.