Katherine Mary Walsh, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

015615 Issued in NY

Practice address

24 Sheldon Dr
Ballston Lake, NY 12019-2556

Phone

(518) 399-3019

NPI assigned

Oct 28, 2008

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nysarc Inc Montgomery County Chapter LibertyGroup PAC ID 1557651411, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nysarc Inc Montgomery County Chapter Liberty

  • Multi-Specialty Clinic/Center
  • Amsterdam, NY
  • NPI 1376902734
  Medicare reassignment Care Compare group NPD
• New Dimensions in Living Inc

  • Multi-Specialty Clinic/Center
  • Amsterdam, NY
  • NPI 1982674917
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1891948360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SHELDON DR",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192556",
            "telephone_number": "518-399-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SHELDON DR",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192556",
            "telephone_number": "518-399-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "015615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl R Traver, RN
• Theresa A Trump, MS ED
• Upstate Advocacy Group LLC
• Volition Therapy LLC
• Walgreen Co
• Katie Whelan
• Rachel Lynne Whitney, FNP-BC
• Melissa Marie Willis, MSPT
• Sarah E Worboys, PT, DPT
• Stephanie Yonkers

• Pediatric Physical Therapist in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.