Active NPI
Katherine Hart, DPT
- Physical Therapist
- Seekonk, MA
National Provider Identifier
1992215107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02885
- Practice address
- 1314 Fall River Ave
Seekonk, MA 02771-5927 - Phone
- (401) 433-4049
- Fax
- (401) 270-0118
- NPI assigned
- Oct 3, 2017
- Last updated
- May 9, 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 Therapist | 225100000X | PT02885 | RI | Primary |
Addresses
Primary practice location
1314 Fall River Ave
Seekonk, MA 02771-5927
Mailing address
4 Richmond SQ Ste 200
Providence, RI 02906-5117
Other names 1
- Katherine Bourassa
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 |
|---|---|---|---|
| 22252 | MA | MD | Dentist |
| PT02885 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1992215107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ STE 200",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 FALL RIVER AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027715927",
"telephone_number": "401-433-4049",
"fax_number": "401-270-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "KATHERINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "BOURASSA",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seekonk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.