Active NPI
Kathleen Scafidi
- Physical Therapist
- Flat Rock, MI
National Provider Identifier
1154517217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 29100 Gateway Blvd
Suite 400
Flat Rock, MI 48134 - Phone
- (734) 379-7900
- Fax
- (734) 379-9150
- NPI assigned
- Sep 21, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
29100 Gateway Blvd
Suite 400
Flat Rock, MI 48134
Mailing address
29100 Gateway Blvd
Suite 400
Flat Rock, MI 48134
Phone (734) 379-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1154517217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29100 GATEWAY BLVD",
"address_2": "SUITE 400",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "48134",
"telephone_number": "734-379-7900",
"fax_number": "734-379-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29100 GATEWAY BLVD",
"address_2": "SUITE 400",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "48134",
"telephone_number": "734-379-7900",
"fax_number": "734-379-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAFIDI",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flat Rock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.