Active NPI
Katherine Breanne Patrick, DPT
- Orthopedic Physical Therapist
- Berthoud, CO
National Provider Identifier
1962836007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PTL.0012586
- Practice address
- 111 E Indiana Ave
Berthoud, CO 80513-2643 - Phone
- (720) 849-5856
- NPI assigned
- Aug 26, 2013
- Last updated
- Feb 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 38198 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PTL.0012586 | CO | Primary |
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
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 |
|---|---|---|---|
| PT 38198 | CA | MD | Physical Therapist |
| PTL.0012586 | CO | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1962836007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E INDIANA AVE",
"city": "BERTHOUD",
"state": "CO",
"postal_code": "805132643",
"telephone_number": "720-849-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E INDIANA AVE",
"city": "BERTHOUD",
"state": "CO",
"postal_code": "805132643",
"telephone_number": "720-849-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "KATHERINE",
"middle_name": "BREANNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 38198",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "PTL.0012586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berthoud, CO
- Kelly K. Murtagh, MSPT
- Margaret Murtagh, C.M.T
- New Paradigm Medical, PC
- Melissa Diane Ott, CD
- Owens Dental Berthoud, P.C. (Owens Dental Berthoud)
- Brenda Lynn Peacock, M. AC., L. AC.
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
- Kylea Ginger Rickard, RDH
- Amanda Lee Roland, LPC
- Kimberly Rousseau-Simmons, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.