Active NPI
Katrina L Lee, PT
- Physical Therapist
- Cairo, NY
National Provider Identifier
1770850901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034461
- Practice address
- 348 Main Street
Cairo, NY 12413-2680 - Phone
- (518) 622-9200
- Fax
- (518) 622-9945
- NPI assigned
- Nov 16, 2011
- Last updated
- Apr 24, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034461 | NY | Primary |
Addresses
Primary practice location
348 Main Street
Cairo, NY 12413-2680
Mailing address
PO Box 1244
Cairo, NY 12413-1244
Phone (518) 622-9200
Other names 1
- Katrina L Vanalstyne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
348 Main St
Cairo, NY 12413-3117
Phone (518) 622-9200
Merit-based Incentive Payment System (MIPS)
- Final score
- 38.44 of 100
- Quality
- 33.33
- Improvement activities
- 0
- Cost
- 83.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034461 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Physical Therapy Wellness LLC | Physical Therapist | Current | Accepting new patients |
Locations
4383 Route 23
Ste 102
Cairo, NY 12413
Phone (518) 622-9200
Organizations & group practices 1
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.
-
- Physical Therapist
- Cairo, NY
- NPI 1205830973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1770850901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1244",
"city": "CAIRO",
"state": "NY",
"postal_code": "124131244",
"telephone_number": "518-622-9200",
"fax_number": "518-622-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 MAIN STREET",
"city": "CAIRO",
"state": "NY",
"postal_code": "124132680",
"telephone_number": "518-622-9200",
"fax_number": "518-622-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KATRINA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2024-04-24",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATRINA",
"last_name": "VANALSTYNE",
"middle_name": "L",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cairo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.