KATHERINE BREANNE PATRICK (NPI# 1962836007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962836007 |
| Entity Type | Individual |
| Full Name | KATHERINE BREANNE PATRICK |
| Credential | DPT |
| Practice Address |
111 E Indiana Ave Berthoud CO 80513-2643 |
| Practice Telephone | 7208495856 |
| Mailing Telephone | 7208495856 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT 38198 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTL.0012586 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467649442 | Katherine J. Patrick | Counselor | 2318 Ellen Dr, Lafayette, IN 47909-2330 | 2007-10-03 |
| 1144781972 | Katherine S Patrick | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl Ste 1, Boston, MA 02118-2999 | 2019-03-26 |
| 1508313545 | Katherine Wintersmith Patrick | Student in an Organized Health Care Education/Training Program | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2016-09-07 |
| 1679837058 | Katherine B Patrick | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2012-06-29 |
| 1649533092 | Katherine Dorothy Patrick | Pediatrics | 200 Hawkins Dr, Department of Pediatrics, Iowa City, IA 52242-1009 | 2012-06-20 |
| 1366584989 | Katherine Patrick | Physician Assistant | 1004 N Highland Ave, Murfreesboro, TN 37130-2454 | 2007-02-12 |
| Street Address |
111 E INDIANA AVE |
| City | BERTHOUD |
| State | CO |
| Zip Code | 80513-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233163 | Terri Campbell | Technician | 949 North County Road 23e, Berthoud, CO 80513 | 2019-09-09 |
| 1962948604 | Carolyn Hobson | Lactation Consultant, Non-RN | 817 Green Wood Drive, Berthoud, CO 80513 | 2017-01-18 |
| 1588834121 | Executive Physical Therapy, Inc. | Clinic/Center | 247 Mountain Avenue, Berthoud, CO 80513 | 2008-03-11 |
| 1699978403 | Craig P. Farson | Dentist | 646 7 Th Street, Berthoud, CO 80513 | 2007-06-08 |
| 1104973387 | Kelly K. Murtagh | Physical Therapist | 516 Mountain Avenue, Berthoud, CO 80513 | 2007-01-03 |
| 1497815344 | Judi Lynn Ashley | Specialist | 548 Mountain Ave, Berthoud, CO 80513 | 2006-12-11 |
| 1699856054 | Elizabeth Rejeana Kolbe | Counselor | 548 Mountain Avenue, Berthoud, CO 80513 | 2006-10-18 |
| 1619072972 | Berthoud Drug, LLC | Pharmacy | 330 Mountain Ave, Berthoud, CO 80513 | 2006-09-13 |
| 1952322315 | Longmont United Hospital | Clinic/Center | 549 Mountain Avenue, Berthoud, CO 80513 | 2006-07-21 |
| 1851893788 | Kylea Ginger Rickard | Dental Hygienist | 430 Bimson Ave, Berthoud, CO 80513 | 2018-03-07 |
| Find all providers in zip 80513 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028365 | Vital Motion Physical Therapy, LLC | Physical Therapist | 9478 Ridgeline Blvd Unit D, Highlands Ranch, CO 80129-2593 | 2020-06-22 |
| 1912535477 | Eagle Valley Physical Therapy Pllc | Physical Therapist | 428 Steamboat Dr., Gypsum, CO 81637 | 2020-03-31 |
| 1982235891 | Rudy James Hernandez | Physical Therapist | 175 Inverness Dr W, Englewood, CO 80112-5065 | 2020-01-29 |
| 1457997470 | Dara Wellness and Physio LLC | Physical Therapist | 2970 W 29th St Unit 17, Greeley, CO 80631-8510 | 2019-11-25 |
| 1679114250 | Kacey Minear | Physical Therapist | 151 W Mineral Ave Ste 116a, Littleton, CO 80120-4510 | 2019-10-04 |
| 1447722137 | Trailhead Physical Therapy LLC | Physical Therapist | 9150 Commerce Center Cir Ste 200, Highlands Ranch, CO 80129-1562 | 2018-12-19 |
| 1730697822 | Eve A Monrad | Physical Therapist | 325 Interlocken Pkwy Ste A-100, Broomfield, CO 80021-3497 | 2018-01-11 |
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1972023604 | David Ernesto Canales | Physical Therapist | 2438 Research Pkwy Ste 235, Colorado Springs, CO 80920-1094 | 2017-06-23 |
| 1538606611 | Andrew Trevino | Physical Therapist | 9777 S Yosemite St Ste 130, Lone Tree, CO 80124-3115 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.