Healthcare Provider Details

I. General information

NPI: 1902563760
Provider Name (Legal Business Name): KATHERINE EVANS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WEST AVE STE 150
SARATOGA SPRINGS NY
12866-6050
US

IV. Provider business mailing address

703 GRANITE ST STE 3
BRAINTREE MA
02184-5350
US

V. Phone/Fax

Practice location:
  • Phone: 518-583-7537
  • Fax: 518-583-7906
Mailing address:
  • Phone: 781-807-6139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25892
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: