Individual provider Active NPI

Katherine A Anderson, PT

  • Physical Therapist
  • Circleville, OH
National Provider Identifier
1821148966
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT09285 Issued in OH
Practice address
1414 North Court Street
Circleville, OH 43113-1005
Phone
(740) 474-9318
Fax
(740) 474-9326
NPI assigned
Jan 11, 2007
Last updated
Dec 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT09285 OH Primary

Addresses

Primary practice location

1414 North Court Street
Circleville, OH 43113-1005

Mailing address

12019 Winchester Rd
Ashville, OH 43103-9402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130226000549 OH Practitioner - Physical Therapist in Private Practice 5294838447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circleville Physical Therapy IncGroup PAC ID 2567468127, 4 clinicians

Practice addresses (Care Compare)

1414 N Court St
Circleville, OH 43113-1005
Phone (740) 474-9318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT09285OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Circleville Physical Therapy, Inc. Physical Therapist CurrentSince Nov 5, 2012 Accepting new patients

Locations

1414 N Court St
Circleville, OH 43113
Phone (740) 474-9318

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1821148966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12019 WINCHESTER RD",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431039402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NORTH COURT STREET",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131005",
            "telephone_number": "740-474-9318",
            "fax_number": "740-474-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT09285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.

Verify at the official NPI Registry.