Katherine Mary Pride, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

15300 Issued in NC

Practice address

1520 Sunday Dr
Suite 105
Raleigh, NC 27607-5253

Phone

(919) 420-1682

Fax

(919) 719-3531

NPI assigned

Nov 24, 2014

Last updated

Feb 18, 2015By the provider in NPPES

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drayer Physical Therapy of New Jersey LLCGroup PAC ID 6204050164, 16 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drayer Physical Therapy of New Jersey LLC

  • Physical Therapist
  • Flanders, NJ
  • NPI 1154746477
  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy of New Jersey LLC

  • Physical Therapist
  • Parsippany, NJ
  • NPI 1609315258
  NPD (past)

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1881091544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075253",
            "telephone_number": "919-420-1682",
            "fax_number": "919-719-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075253",
            "telephone_number": "919-420-1682",
            "fax_number": "919-719-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDE",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "15300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lee Price, LPC, LCAS
• Sharon Price
• Steven Price, LPCA
• Uzama Simone Price, ED, D, NADD-DDS
• Wayne J Prickett, DC
• Shante Pride
• Anne Pridgen, P.T.
• Jessica Pridgen, CCC-SLP
• Kayla Brooke Pridgen, BCBA
• Susan Yvonne Pridgen, A.T.C.-L

• Pediatric Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.