Provider Demographics
NPI:1730072349
Name:KATKAM, RASHMI (PT)
Entity type:Individual
Prefix:
First Name:RASHMI
Middle Name:
Last Name:KATKAM
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 1:34 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2616
Mailing Address - Country:US
Mailing Address - Phone:551-260-8132
Mailing Address - Fax:
Practice Address - Street 1:8718 BAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-5272
Practice Address - Country:US
Practice Address - Phone:718-676-2478
Practice Address - Fax:718-676-2479
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist