Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Kivinen

Individual provider Physical Therapist · NPI 1225417835

Katelyn Kivinen is a Physical Therapist in Private Practice in Fairport, New York. Qualified in 2015, 11 years ago. Practices with Fox Rehabilitation Services of South Carolina, LLC, a 293-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

790 Ayrault Rd
Fairport, NY 14450-8981
Phone: (585) 425-1018
Fax: (585) 425-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 039285-1 (NY)

Record details

NPI number1225417835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address790 Ayrault Rd, Fairport, NY 14450-8981

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fox Rehabilitation Services Of South Carolina, Llc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairport