Look up the most recent NPI and PECOS records

Brian Defreest Katt

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

709 N Main St, North Syracuse, NY 13212-1669

PECOS Enrollment

Based on the most recent information from CMS, provider Brian Defreest Katt does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134878937
Provider Type
Individual
Full Name
Katt, Brian Defreest
Title
Mr.
Credential
LMT

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/21/2022
Last Updated
3/21/2022

Contact Information

Practice Location

709 N Main St, North Syracuse, NY 13212-1669

(315) 937-5954

Unlisted Fax

Mailing Location

8309 Provo Dr, Liverpool, NY 13090-4106

(845) 702-5096

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225700000X Primary	Description Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 032423-01 New York

Provider Identifiers

ID	Description	Issuer
ID 032423-01	Description Other	Issuer PRIVATE INSURANCE New York

Brian Defreest Katt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Pudney, Noelle

Napoli, Phillip Michael

Dienhoffer, Patricia

Taylor, Terry

Burgmeier, Margo E

Maresca, Michael J

Ney, Colleen

Sandford, Olivia

Rose, David

Cole, Debra A