Kathryn Taylor Prominski (NPI# 1548740095, PAC ID# 5395097745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1548740095 |
| PAC ID by PECOS | 5395097745 |
| Professional Enrollment ID | I20181012000092 |
| Full Name | Kathryn Taylor Prominski |
| Organization Legal Name | WASHINGTON WELLNESS CENTER FOR PHYSICAL THERAPY AND SPORTSCARE LLC |
| Address |
25 Massachusetts Ave Nw Suite C500 Washington DC 20001-1430 |
| Phone Number | 2028089496 |
| Gender | F |
| Medical School | COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5092970798 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1100 H St Nw, Suite Ll110, Washington, DC 20005-5476 | 2023472373 | WASHINGTON WELLNESS CENTER FOR PHYSICAL THERAPY AND SPORTSCARE LLC |
| 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 | 2028089496 | WASHINGTON WELLNESS CENTER FOR PHYSICAL THERAPY AND SPORTSCARE LLC |
| Organization Legal Name | WASHINGTON WELLNESS CENTER FOR PHYSICAL THERAPY AND SPORTSCARE LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Gallegos | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Kelly L Leininger | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 1100 H St Nw, Suite Ll110, Washington, DC 20005-5476 |
| Norman Landry | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Sarah Nalepa | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 1100 H St Nw, Suite Ll110, Washington, DC 20005-5476 |
| Rebecca Breve | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Carly Hampton | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Sarah Weimer | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 1100 H St Nw, Suite Ll110, Washington, DC 20005-5476 |
| Kayla Heering | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Blair Callaghan | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Mary Jean Stack | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 1100 H St Nw, Suite Ll110, Washington, DC 20005-5476 |
| Street Address |
25 MASSACHUSETTS AVE NW SUITE C500 |
| City | WASHINGTON |
| State | DC |
| Zip | 20001-1430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Gallegos | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Norman Landry | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Rebecca Breve | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Carly Hampton | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Kayla Heering | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Blair Callaghan | Physical Therapy | Washington Wellness Center for Physical Therapy and Sportscare LLC | 25 Massachusetts Ave Nw, Suite C500, Washington, DC 20001-1430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Claire Brady Novak | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Jacquelyn M Horton | Clinical Social Worker | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Cecillia Tsao | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Shiban L Raina | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Mir Javid | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Deborah V Suchman | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Anna Quast | Nurse Practitioner | Some Inc | 60 O Nwst, Washington, DC 20001-1259 |
| Arda Kasaci | Psychiatry | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Janelle Marie Mancuso | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Theresa M. Owens | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Find all physicians in zip 20001 | |||
| City | WASHINGTON |
| Zip Code | 20001 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WASHINGTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.