Provider Demographics
NPI:1528427697
Name:PISCATELLI, KATHERINE (PT, ATC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:PISCATELLI
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:PISCATELLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, ATC
Mailing Address - Street 1:PO BOX 392573
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9573
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:821 LIBERTY ST E STE D
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-2239
Practice Address - Country:US
Practice Address - Phone:803-818-5578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13362225100000X
SC11205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist