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

Miss. Katherine Alexandra Bukovsky

Individual provider Physical Therapy Assistant · NPI 1104496777

Miss. Katherine Alexandra Bukovsky is a Physical Therapy Assistant in Centreville, Virginia. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

5136 Pleasant Forest Dr
Centreville, VA 20120-1248
Phone: (571) 332-5283
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA (NC)

Record details

NPI number1104496777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 16, 2021

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