Individual provider Active NPI

Katherine Patton, P.T.

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1831248624
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002017 Issued in GA
Practice address
555 Sun Valley Dr Ste G2
Roswell, GA 30076-5607
Phone
(678) 393-8636
Fax
(678) 393-8637
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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 PT002017 GA Primary

Addresses

Primary practice location

555 Sun Valley Dr Ste G2
Roswell, GA 30076-5607

Mailing address

555 Sun Valley Dr Ste G2
Roswell, GA 30076-5607
Phone (678) 393-8636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000138 GA Practitioner - Physical Therapist in Private Practice 4385632868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 Sun Valley Dr
Roswell, GA 30076-5606

555 Sun Valley Dr
Suite G2
Roswell, GA 30076-5607
Phone (678) 393-8636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialties, LLC CurrentSince Oct 16, 2003 Accepting new patients

Locations

1071 Cambridge Sq
Ste E
Alpharetta, GA 30009
Phone (404) 242-8188

555 Sun Valley Dr
Ste G2
Roswell, GA 30076
Phone (678) 393-8636

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1831248624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE G2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765607",
            "telephone_number": "678-393-8636",
            "fax_number": "678-393-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE G2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765607",
            "telephone_number": "678-393-8636",
            "fax_number": "678-393-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KATHERINE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.