Individual provider Active NPI

Kathy Xavier

  • Orthopedic Physical Therapist
  • Detroit, MI
National Provider Identifier
1144058405
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501301880 Issued in MI
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

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20241016000497 MI Practitioner - Physical Therapist in Private Practice 4486186400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Michigan Luna Care Physical Therapy LLCGroup PAC ID 9032549217, 51 clinicians
Pilot Physical Therapy LLCGroup PAC ID 9436511672, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Mi LLC Orthopedic CurrentSince Jun 1, 2025 Accepting new patients
Michigan Luna Care Physical Therapy, LLC CurrentSince Jul 30, 2024 Accepting new patients
Pilot Physical Therapy LLC Orthopedic CurrentSince Sep 13, 2025 Accepting new patients
Complete Rehab LLC PastSince Sep 13, 2025 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.

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.

Verify at the official NPI Registry.