Active NPI
Katelyn Marie Vagrosky, PT, DPT
- Physical Therapist
- Amarillo, TX
National Provider Identifier
1922535160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1295066
- Practice address
- 6010 W Amarillo Blvd
Amarillo, TX 79106 - Phone
- (806) 355-9703
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1295066 | TX | Primary |
Addresses
Primary practice location
6010 W Amarillo Blvd
Amarillo, TX 79106
Mailing address
8307 Progress Dr
Amarillo, TX 79119-7206
Phone (806) 282-8697
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1295066 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1922535160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8307 PROGRESS DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791197206",
"telephone_number": "806-282-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 W AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79106",
"telephone_number": "806-355-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAGROSKY",
"first_name": "KATELYN",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1295066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.