Kathryn McKinnon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016518 Issued in MI

Practice address

3562 S Lapeer Rd Ste F
Metamora, MI 48455-8998

Phone

(810) 212-1277

Fax

(810) 695-7946

NPI assigned

Jul 18, 2014

Last updated

Mar 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metamora Physical Therapy LLCGroup PAC ID 5395004451, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Metamora Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Metamora, MI
  • NPI 1396257135

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Milton J Grosenbach Edd, PC

  • Psychologist
  • Metamora, MI
  • NPI 1821135831
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1114334448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397033",
            "telephone_number": "810-695-8700",
            "fax_number": "810-695-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 S LAPEER RD STE F",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558998",
            "telephone_number": "810-212-1277",
            "fax_number": "810-695-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "KATHRYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junior Yogi
• Matthew Michael Kapraun, DC
• Julianne Marie Lentz, RPH
• Gabrielle Renate Lightcap, COTAL
• Carrie Ellen Lovik, PA
• Metamora Physical Therapy LLC
• Mi. Home Healthcare Services, Inc.
• Milton J Grosenbach Edd, PC
• Lynette Ellen Morris, RD,CDE
• Christine Rene Muzychka, DDS

• Physical Therapist in Metamora, MI
• Providers in Metamora, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.