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NPI Code Detail

MEDICARE: KATHERINE P. TROTTA PT

MEDICARE:   KATHERINE P. TROTTA  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT008627GA
2225100000XPhysical Therapist11294NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT008627OTHERGASTATE LISC NUMBER

General Provider Information

NPI Number : 1376612614
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE P. TROTTA PT
Provider Business Mailing Address
First Line : 6623 EXECUTIVE CIR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-8251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 710 PARK CENTER DR
Second Line :
City : MATTHEWS
State : NC
Zip : 28105-5012
Country : US
Telephone Number : 704-323-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 06/10/2026

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Directions to “ KATHERINE P. TROTTA PT” Practice Location

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