Active NPI
Katelyn Axtell, PT
- Physical Therapist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037539
- Practice address
- 707 Hamilton St FL 4
Allentown, PA 18101-2407 - Phone
- (484) 862-3001
- Fax
- (484) 862-3013
- NPI assigned
- Mar 10, 2014
- Last updated
- Oct 9, 2023
- 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 Therapist | 225100000X | 037539 | NY | Primary |
Addresses
Primary practice location
707 Hamilton St FL 4
Allentown, PA 18101-2407
Mailing address
33 Lewis Rd
Binghamton, NY 13905-1048
Phone (607) 729-8156
Other practice location 1
1302 E Main St
Endicott, NY 13760-5430
Phone (607) 757-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 Hamilton St
FL 4
Allentown, PA 18101-2407
Phone (484) 862-3001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Hospital | Physical Therapist | Current | Accepting new patients |
| Lehigh Valley Hospital | Current | Accepting new patients |
Locations
707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001
700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lehigh Valley Health Network Rehabilitation Services
- Physical Therapist
- Bethlehem, PA
- NPI 1356769616
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1972929479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051048",
"telephone_number": "607-729-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HAMILTON ST FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181012407",
"telephone_number": "484-862-3001",
"fax_number": "484-862-3013"
}
],
"practiceLocations": [
{
"address_1": "1302 E Main St",
"address_purpose": "LOCATION",
"city": "Endicott",
"state": "NY",
"postal_code": "137605430",
"country_code": "US",
"telephone_number": "607-757-2600",
"fax_number": "607-757-0384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AXTELL",
"first_name": "KATELYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-10",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.