Provider Demographics
NPI:1194166009
Name:RICARTE, KATHRYN ANNE (PT)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ANNE
Last Name:RICARTE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3227 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-5707
Mailing Address - Country:US
Mailing Address - Phone:718-904-9400
Mailing Address - Fax:718-904-9144
Practice Address - Street 1:3227 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5707
Practice Address - Country:US
Practice Address - Phone:718-904-9400
Practice Address - Fax:718-904-9144
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036216225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist