Katherine Patty, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07358 Issued in LA

Practice address

820 Jordan St Ste 150
Shreveport, LA 71101-4529

Phone

(318) 222-7442

Fax

(318) 424-4751

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eberhardt Physical Therapy & Wellness Clinic, Inc.

  • Physical Therapist
  • Shreveport, LA
  • NPI 1023202694
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1992279244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 150",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014529",
            "telephone_number": "318-222-7442",
            "fax_number": "318-424-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST STE 150",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014529",
            "telephone_number": "318-222-7442",
            "fax_number": "318-424-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTY",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Scott Patton, MD
• Matthew Patton, PHARM.D.
• Meredith Patton, D.D.S.
• Pamela Payne Patton, FNP-C
• Stephen Ross Patton, MD
• Ravish V Patwardhan, M.D.
• Ananta Paudel
• Paul G Crawford MD and Willis-Knighton Medical Center
• Paul S Wilson MD and Willis-Knighton Medical Center
• Paul S Wilson MD LLC

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.