Provider Demographics
NPI:1720369077
Name:GILBERT, KATIE M (PT, ATC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:M
Last Name:GILBERT
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:M
Other - Last Name:BEGIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, ATC
Mailing Address - Street 1:291 TAVISTOCK DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-2620
Mailing Address - Country:US
Mailing Address - Phone:540-333-0705
Mailing Address - Fax:
Practice Address - Street 1:291 TAVISTOCK DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-2620
Practice Address - Country:US
Practice Address - Phone:540-333-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305211843225100000X
DEJT-0000817225100000X
MD24331225100000X
VA01260028842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD269296ZBL8Medicare PIN