IndividualActive
Kathryn Wollam, P.T.
NPI 1104990563 · Physical Therapist · Coral Springs, FL
Provider details
- NPI number
- 1104990563
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT4399 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12132 Nw 24th St
Coral Springs, FL 33065-3267
Phone: (954) 579-4056
Fax: (954) 344-3878
Street-level locationGet directions
Mailing address
12132 Nw 24th St
Coral Springs, FL 33065-3267
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.