Active NPI
Kathryn Claudio, PTA
- Physical Therapy Assistant
- Diberville, MS
National Provider Identifier
1972146249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8757
- Practice address
- 17861 Kelso Dr
Diberville, MS 39540-1201 - Phone
- (805) 616-5489
- NPI assigned
- Oct 19, 2019
- 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 Therapy Assistant | 225200000X | 8757 | TN | Primary |
Addresses
Primary practice location
17861 Kelso Dr
Diberville, MS 39540-1201
Mailing address
17861 Kelso Dr
Diberville, MS 39540-1201
Phone (805) 616-5489
Other names 1
- Kathryn Ford
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 |
|---|---|---|---|
| 8757 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1972146249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17861 KELSO DR",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395401201",
"telephone_number": "805-616-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17861 KELSO DR",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395401201",
"telephone_number": "805-616-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUDIO",
"first_name": "KATHRYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-19",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "8757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "FORD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Diberville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.