Individual provider Active NPI

Katarzyna Krystyna Dmoch, DPT

  • Orthopedic Physical Therapist
  • Narragansett, RI
National Provider Identifier
1871800623
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT02327 Issued in RI
Practice address
140 Point Judith Rd
Suite 33
Narragansett, RI 02882-3451
Phone
(401) 789-2077
Fax
(401) 782-4762
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT02327 RI Primary

Addresses

Primary practice location

140 Point Judith Rd
Suite 33
Narragansett, RI 02882-3451

Mailing address

140 Point Judith Rd
Suite 33
Narragansett, RI 02882-3451
Phone (401) 789-2077

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
PT02327RIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Rhode Island Past Accepting new patients
Proactive Physical Therapy, Inc. PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 2

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1871800623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 POINT JUDITH RD",
            "address_2": "SUITE 33",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823451",
            "telephone_number": "401-789-2077",
            "fax_number": "401-782-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 POINT JUDITH RD",
            "address_2": "SUITE 33",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823451",
            "telephone_number": "401-789-2077",
            "fax_number": "401-782-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DMOCH",
        "first_name": "KATARZYNA",
        "middle_name": "KRYSTYNA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "RI",
            "license": "PT02327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.