Kara Tate Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

7710 Issued in AZ

Legal business name

KARA TATE PHYSICAL THERAPY, LLC

Practice address

2398 N Keystone Dr
Flagstaff, AZ 86004-7193

Phone

(928) 699-9896

Fax

(888) 977-1012

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Kara C Koenitzer Tate, P.T., D.P.T.

Title

Physical Therapist

Phone

(928) 699-9896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1881010064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 N KEYSTONE DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047193",
            "telephone_number": "928-699-9896",
            "fax_number": "888-977-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 N KEYSTONE DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047193",
            "telephone_number": "928-699-9896",
            "fax_number": "888-977-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA TATE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "KOENITZER TATE",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-699-9896",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "7710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Allyson Kalas, ED.D.
• Daniel Ernest Kaminskas, MD
• Julie Anne Kaminskas, PH.D
• Debra E. Kamzelski, R.N/
• Alisyn Rae Kandybowicz, CCC-SLP
• Karen Neurology PLC
• Dee Ann Kaserer, FNP
• Meagan E Kasprzyk
• Samantha Kasprzyk, OTD, OTR/L
• Edward Charles Kauffman, MD

• Physical Therapy Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; 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.