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

Katherine J Bannon, DPT

Individual provider Physical Therapist · NPI 1114306974

Katherine J Bannon, DPT is a Physical Therapist in Private Practice in Tuba City, Arizona. Qualified in 2011, 15 years ago. Practices with Fox Rehabilitation Services Az LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
15
Licensed in
DE
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

167 N Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2501
Fax: (928) 283-2677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence J10002847 (DE)

Record details

NPI number1114306974
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 27, 2015
Last updated in NPPESMay 27, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Fox Rehabilitation Services Az Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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