Individual provider Active NPI

Katelyn Posey, PT, DPT, LAT, ATC

  • Physical Therapist
  • West Lafayette, IN
National Provider Identifier
1790290567
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014701A Issued in IN
Practice address
355 N Martin Jischke Dr
West Lafayette, IN 47907-2030
Phone
(765) 494-1839
NPI assigned
Dec 2, 2017
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36003279A IN
Physical Therapist 225100000X 05014701A IN Primary

Addresses

Primary practice location

355 N Martin Jischke Dr
West Lafayette, IN 47907-2030

Mailing address

4450 Evanston Ave
Indianapolis, IN 46205-2242
Phone (765) 607-3786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05014701AINMDPhysical Therapist
36003279AINMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Purdue University PastSince Jun 25, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1790290567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 EVANSTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052242",
            "telephone_number": "765-607-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N MARTIN JISCHKE DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072030",
            "telephone_number": "765-494-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSEY",
        "first_name": "KATELYN",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003279A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014701A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.