Katherine P Squires

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60861468 Issued in WA

Practice address

3616 Bordeaux LN
Hurst, TX 76054-2094

Phone

(817) 797-3102

NPI assigned

Jun 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1952894537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 BORDEAUX LN",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 BORDEAUX LN",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542094",
            "telephone_number": "817-797-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985314568",
            "country_code": "US",
            "telephone_number": "360-736-0112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "KATHERINE",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1290631",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293835",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60861468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southlake Educational Center (Brookwood II)
• Southwest Hyperbarics
• Southwest Medical Equipment, Inc
• Phillip Skot Spears, RD, RDN
• Jordan Ashley Spencer
• Padmavathi N Srinivasan, MD
• Kirk William Stafford, LCSW
• Jessica Lynn Stangenwald, DC, FNP
• Elizabeth C Stanley, CCC-SLP
• Katherine Elizabeth Stark

• Physical Therapist in Hurst, TX
• Providers in Hurst, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.