MEDICARE: KATY VIEIRA

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
1	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1841062445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATY VIEIRA

Provider Business Mailing Address
First Line	:	2218 BORBECK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3724
Country	:	US
Telephone Number	:	267-270-2547
Fax Number	:

Provider Business Practice Location Address
First Line	:	2218 BORBECK AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-3724
Country	:	US
Telephone Number	:	267-270-2547
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	10/09/2025

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Directions to “ KATY VIEIRA ” Practice Location

Language	Start Address	Practice Location

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