Katherine Theresa Jean Daughtry, PT - Medicare Physical Therapist in San Bruno, CA

Katherine Theresa Jean Daughtry, PT is a medicare enrolled "Physical Therapist" provider in San Bruno, California. Her current practice location is 801 Traeger Ave, Suite 212, San Bruno, California. You can reach out to her office (for appointments etc.) via phone at (650) 742-7102.

Katherine Theresa Jean Daughtry is licensed to practice in California (license number PT 20728) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477602662.

Contact Information

Katherine Theresa Jean Daughtry, PT
801 Traeger Ave, Suite 212,
San Bruno, CA 94066-3048
(650) 742-7102
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKatherine Theresa Jean Daughtry
GenderFemale
SpecialityPhysical Therapist
Location801 Traeger Ave, San Bruno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477602662
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072900315
  • Enrollment ID: I20220504002973

Medical Identifiers

Medical identifiers for Katherine Theresa Jean Daughtry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477602662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT 20728 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine Theresa Jean Daughtry allows following entities to bill medicare on her behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Theresa Jean Daughtry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katherine Theresa Jean Daughtry, PT
801 Traeger Ave,
San Bruno, CA 94066-3048

Ph: (650) 742-7102
Katherine Theresa Jean Daughtry, PT
801 Traeger Ave, Suite 212,
San Bruno, CA 94066-3048

Ph: (650) 742-7102

Reviews and Comments


Physical Therapist in San Bruno, CA

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Practice Location: 2600 Fleetwood Dr, San Bruno, CA 94066
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Tom Brandt,
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Medicare: Not Enrolled in Medicare
Practice Location: 801 Traeger Ave, San Bruno, CA 94066
Phone: 650-742-2388    
Mrs. Patricia Maria Casey, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 801 Traeger Ave, Suite 304, San Bruno, CA 94066
Phone: 650-742-7279    Fax: 650-742-7295
Lesa C Perez,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 801 Traeger Ave Ste 304, San Bruno, CA 94066
Phone: 650-742-2000    Fax: 877-738-4262
Mr. Paul C Yu, P.T
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 801 Traeger Ave, San Bruno, CA 94066
Phone: 650-742-7110    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.