MEDICARE: KATRINA A DY PT, DPT

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	225100000X	Physical Therapist	40QA01914900	NJ
2	225100000X	Physical Therapist	15168	CT

General Provider Information

NPI Number	:	1841903994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA A DY PT, DPT

Provider Business Mailing Address
First Line	:	515 LINCOLN HWY
Second Line	:
City	:	ISELIN
State	:	NJ
Zip	:	08830-1766
Country	:	US
Telephone Number	:	732-501-1625
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 LINCOLN HWY
Second Line	:
City	:	ISELIN
State	:	NJ
Zip	:	08830-1766
Country	:	US
Telephone Number	:	732-326-2111
Fax Number	:

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

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	12/02/2025

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Directions to “ KATRINA A DY PT, DPT” Practice Location

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