Active NPI
Kortney Gregory, PT
- Physical Therapist
- Lapeer, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018024
- Practice address
- 1739 N Saginaw St Ste 103
Lapeer, MI 48446-7627 - Phone
- (810) 660-7754
- Fax
- (810) 660-8254
- NPI assigned
- Jan 10, 2017
- Last updated
- Apr 26, 2022
- 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 | 5501018024 | MI | Primary |
Addresses
Primary practice location
1739 N Saginaw St Ste 103
Lapeer, MI 48446-7627
Mailing address
3379 Lum Rd
Lapeer, MI 48446-8342
Phone (810) 310-0984
Other practice location 1
2138 Fairway Dr
Davison, MI 48423-8482
Phone (810) 412-5100
Other names 1
- Kortney Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy Center, Inc | Physical Therapist | Past | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
5832 N Lapeer Rd
Ste Abc
North Branch, MI 48461
Phone (810) 793-5282
Organizations & group practices 5
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
dba Synchrony Rehabilitation
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
MI
-
- Physical Therapist
- Lapeer, MI
- NPI 1619619194
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
-
- Physical Therapist
- Grand Blanc, MI
- NPI 1154331262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1215473608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3379 LUM RD",
"city": "LAPEER",
"state": "MI",
"postal_code": "484468342",
"telephone_number": "810-310-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 N SAGINAW ST STE 103",
"city": "LAPEER",
"state": "MI",
"postal_code": "484467627",
"telephone_number": "810-660-7754",
"fax_number": "810-660-8254"
}
],
"practiceLocations": [
{
"address_1": "2138 Fairway Dr",
"address_purpose": "LOCATION",
"city": "Davison",
"state": "MI",
"postal_code": "484238482",
"country_code": "US",
"telephone_number": "810-412-5100",
"fax_number": "810-412-5106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "KORTNEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KORTNEY",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.