Active NPI
Kathy Xavier
- Orthopedic Physical Therapist
- Detroit, MI
National Provider Identifier
1144058405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5501301880
- Practice address
- 261 Mack Ave
Detroit, MI 48201-2417 - Phone
- (313) 745-1203
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5501301880 | MI | Primary |
Addresses
Primary practice location
261 Mack Ave
Detroit, MI 48201-2417
Mailing address
28737 Dartmouth St
Madison Heights, MI 48071-4545
Phone (248) 687-0480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Ann Arbor, MI 48108
Phone (866) 525-3175
21700 Northwestern Hwy
Suite 835
Southfield, MI 48075-4902
Phone (248) 809-2092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Mi LLC | Orthopedic | Current | Accepting new patients |
| Michigan Luna Care Physical Therapy, LLC | Current | Accepting new patients | |
| Pilot Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
| Complete Rehab LLC | Past | Accepting new patients |
Locations
21700 Northwestern Hwy
Ste 835
Southfield, MI 48075
Phone (248) 395-2273
28569 Schoenherr Rd
Warren, MI 48088
Phone (248) 809-2092
Organizations & group practices 4
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.
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1003448994
-
- Rehabilitation Clinic/Center
- Clinton Township, MI
- NPI 1437142783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1144058405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28737 DARTMOUTH ST",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480714545",
"telephone_number": "248-687-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012417",
"telephone_number": "313-745-1203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XAVIER",
"first_name": "KATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MI",
"license": "5501301880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.