Katherine Bickham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11149 Issued in LA

Practice address

2565 Florida St
Mandeville, LA 70448-3566

Phone

(985) 626-6066

Fax

(985) 626-6966

NPI assigned

Mar 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crane Rehab Center LLCGroup PAC ID 3678552866, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Crane Rehab Center LLC

  • Clinic/Center
  • Jefferson, LA
  • NPI 1699777961
  Medicare reassignment Care Compare group NPD
• Star Physical Therapy

  • Physical Therapist
  • Covington, LA
  • NPI 1679691240
  Medicare reassignment NPD
• Crane Rehab Center

  • Occupational Therapist
  • Metairie, LA
  • NPI 1649517723
  NPD (past)
• Crane Rehab Center LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1457860777
  NPD (past)
• Crane Rehab Center LLC

  • Behavior Analyst
  • New Orleans, LA
  • NPI 1861954893

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1871241133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FALCONER DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338204",
            "telephone_number": "985-893-2845",
            "fax_number": "985-893-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 FLORIDA ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483566",
            "telephone_number": "985-626-6066",
            "fax_number": "985-626-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKHAM",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Wellness LLC
• Andre Raoul Bezou, MD
• Bianchini- Skaff Copeland LLC
• Bianchini-Brennan/Stabler, LLC
• Bianchini-Holcomb
• Marleen Billiot, LCSW
• Andre Joseph Birdsall, DDS
• Jacee Blades, DDS
• Nancy Blake
• Martha Blanchard

• Physical Therapist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Physical Therapist in Louisiana

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