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

Katelyn Sidoti

Individual provider Physical Therapist · NPI 1043041320

Katelyn Sidoti is a Physical Therapist in Private Practice in Laveen, Arizona. Qualified in 2024, 2 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Virginia.

Years since qualifying
2
Licensed in
MA, VA
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

5911 W Baseline Rd Ste 102
Laveen, AZ 85339-2811
Phone: (480) 281-6103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 75-77 Spring Street, West Roxbury, MA 02132 — (617) 637-4640
  • 150 Burnetts Way Ste 230, Suffolk, VA 23434-8168 — (757) 942-2022

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 2305216694 (VA)
Physical Therapist Taxonomy 225100000X · Licence PTL28158 (MA)

Record details

NPI number1043041320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Laveen