Active NPI
Katherine Elizabeth Derscheid, PT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1861565616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013341
- Practice address
- 224B Johnson Ferry Rd NE
Atlanta, GA 30328-3820 - Phone
- (470) 300-6670
- Fax
- (470) 300-6671
- NPI assigned
- Nov 17, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015840 | IL | |
| Orthopedic Physical Therapist | 2251X0800X | 9292 | MN | |
| Orthopedic Physical Therapist | 2251X0800X | 7323 | AZ | |
| Physical Therapist | 225100000X | PT013341 | GA | Primary |
Addresses
Primary practice location
224B Johnson Ferry Rd NE
Atlanta, GA 30328-3820
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other practice location 1
200 Johnson Ferry Rd NE Ste 206B
Atlanta, GA 30328-3820
Phone (470) 300-6670
Other names 1
- Katherine E Kolshak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7323 | AZ | MD | Dentist |
| PT013341 | GA | MD | Physical Therapist |
Interoperability endpoints
- katherine.derscheid.1@8474.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1861565616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644",
"fax_number": "586-541-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224B JOHNSON FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283820",
"telephone_number": "470-300-6670",
"fax_number": "470-300-6671"
}
],
"practiceLocations": [
{
"address_1": "200 Johnson Ferry Rd NE Ste 206B",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303283820",
"country_code": "US",
"telephone_number": "470-300-6670",
"fax_number": "470-300-6671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERSCHEID",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015840",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MN",
"license": "9292",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "7323",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "KOLSHAK",
"middle_name": "E",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.