Katherine Lorraine Waters, PT, DPT
NPI 1093201378ActiveIndividual· Physical Therapist· San Diego, CA
Physical Therapist (PT, DPT) with Elite Athletic Therapy, PLLC, practicing in San Diego, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1093201378 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2018 |
| Last updated in NPPES | Jul 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 294964 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Elite Athletic Therapy, PLLCBee Cave, TX · 5 clinicians
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