Katherine Breanne Patrick, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Berthoud, CO
NPI 1962836007 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1962836007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PTL.0012586 (CO)
- Practice address
- 111 E Indiana Ave
Berthoud, CO 80513-2643 - Phone
- (720) 849-5856
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 38198 | CA | MD | Physical Therapist |
| PTL.0012586 | CO | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 38198 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PTL.0012586 | CO | Yes |
Addresses
Primary practice location
111 E Indiana Ave
Berthoud, CO 80513-2643
Mailing address
111 E Indiana Ave
Berthoud, CO 80513-2643
Phone (720) 849-5856
Other providers in Berthoud, CO
- Kelly K. Murtagh
- Margaret Murtagh
- New Paradigm Medical, PC
- Melissa Diane Ott
- Owens Dental Berthoud, P.C.
- Brenda Lynn Peacock
- Poudre Valley Medical Group, LLC
- Kylea Ginger Rickard
- Amanda Lee Roland
- Kimberly Rousseau-Simmons
All providers in Berthoud, CO · Orthopedic Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.