Kathryn E Collins, PT, DPT

Individual provider Active NPI Physical Therapist · Belmont, MI

NPI 1043789787 · NPPES record last updated Aug 12, 2021

Key facts

NPI
1043789787
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501018816 (MI)
Practice address
6290 Jupiter Ave NE Ste C
Belmont, MI 49306-8885
Phone
(616) 364-3290
Fax
(616) 364-3299
NPI assigned
Nov 23, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5501018816MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Physical Rehabilitation Inc Physical Therapist Past
since Aug 15, 2021
Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018816 MI Yes

Addresses

Primary practice location

6290 Jupiter Ave NE Ste C
Belmont, MI 49306-8885

Mailing address

5060 Cascade Rd SE Ste a
Grand Rapids, MI 49546-3808
Phone (616) 364-3290

Other practice location 1

3950 Hollywood Rd Ste 140
Saint Joseph, MI 49085-9151
Phone (269) 556-7150

Other providers in Belmont, MI

All providers in Belmont, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.