Active NPI
Katherine G. Roseborough, PT, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1932403359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27130
- Practice address
- 169 Madison Ave Ste 15501
New York, NY 10016-5101 - Phone
- (385) 308-8034
- NPI assigned
- Dec 28, 2010
- Last updated
- Sep 3, 2025
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT032122 | PA | |
| Physical Therapist | 225100000X | PT27130 | FL | Primary |
| Physical Therapist | 225100000X | 13416 | MN | |
| Physical Therapist | 225100000X | 30530 | MD | |
| Physical Therapist | 225100000X | PT022015 | OH | |
| Physical Therapist | 225100000X | 054523 | NY | |
| Physical Therapist | 225100000X | 308808 | CA | |
| Physical Therapist | 225100000X | PTL88915 | MA | |
| Physical Therapist | 225100000X | LPT-033470 | AZ | |
| Physical Therapist | 225100000X | PT-2025-0195 | NM |
Addresses
Primary practice location
169 Madison Ave Ste 15501
New York, NY 10016-5101
Mailing address
169 Madison Ave Ste 15501
New York, NY 10016-5101
Phone (385) 308-8034
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13416 | MN | MD | Clinical Social Worker |
| LPT-033470 | AZ | MD | Physical Therapist |
| PT27130 | FL | MD | Physical Therapist |
| PTL88915 | MA | MD | Physical Therapist |
| 30530 | MD | MD | Physical Therapist |
| PT-2025-0195 | NM | MD | Physical Therapist |
| 054523 | NY | MD | Physical Therapist |
| PT022015 | OH | MD | Physical Therapist |
| PT032122 | PA | MD | Physical Therapist |
| 308808 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1932403359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "385-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 15501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "385-308-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEBOROUGH",
"first_name": "KATHERINE",
"middle_name": "G.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-28",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032122",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27130",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13416",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30530",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT022015",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "054523",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "308808",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL88915",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-033470",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT-2025-0195",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.