Healthcare Provider Details

I. General information

NPI: 1144756404
Provider Name (Legal Business Name): KATHARINE HARPER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 05/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 MADISON AVE RM 1826
NEW YORK NY
10017-6337
US

IV. Provider business mailing address

295 MADISON AVE RM 1826
NEW YORK NY
10017-6337
US

V. Phone/Fax

Practice location:
  • Phone: 646-596-7427
  • Fax: 646-358-3443
Mailing address:
  • Phone: 646-596-7427
  • Fax: 646-358-3443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number040514-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number040514-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: