Active NPI
Kathryn Elaine Fila, PT
- Physical Therapist
- Petoskey, MI
National Provider Identifier
1205947801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501002634
- Practice address
- 2609 Charlevoix Ave
Petoskey, MI 49770-8524 - Phone
- (231) 439-3750
- Fax
- (231) 439-5918
- NPI assigned
- Aug 31, 2006
- 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 | 5501002634 | MI | Primary |
Addresses
Primary practice location
2609 Charlevoix Ave
Petoskey, MI 49770-8524
Mailing address
1597 Kemp Rd
Petoskey, MI 49770-9200
Phone (231) 439-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650B410920 | Other | MI | BLUE CROSS PROVIDER NUMBE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PGPT, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1205947801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1597 KEMP RD",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709200",
"telephone_number": "231-439-3750",
"fax_number": "231-439-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 CHARLEVOIX AVE",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708524",
"telephone_number": "231-439-3750",
"fax_number": "231-439-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILA",
"first_name": "KATHRYN",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501002634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "650B410920",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.