Individual provider Active NPI

Catherine Jeanne Killigrew, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1871522870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05000900A Issued in IN
Practice address
1020 E 86TH St
Suite 22 D
Indianapolis, IN 46240-1867
Phone
(317) 566-1923
Fax
(317) 566-1923
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 05000900A IN Primary

Addresses

Primary practice location

1020 E 86TH St
Suite 22 D
Indianapolis, IN 46240-1867

Mailing address

1020 E 86TH St
Suite 22 D
Indianapolis, IN 46240-1867
Phone (317) 566-1923

Other identifiers 3

IdentifierTypeStateIssuer
000000337318OtherINANTHEM
34081OtherININDIANA HEALTH NETWORK
000009378869OtherINPRIVATE HEALTHCARE SYSTEM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
05000900AINMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871522870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 86TH ST",
            "address_2": "SUITE 22 D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401867",
            "telephone_number": "317-566-1923",
            "fax_number": "317-566-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 86TH ST",
            "address_2": "SUITE 22 D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401867",
            "telephone_number": "317-566-1923",
            "fax_number": "317-566-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIGREW",
        "first_name": "CATHERINE",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05000900A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000337318",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA HEALTH NETWORK",
            "identifier": "34081",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "000009378869",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.