NPIMap

Organization Active NPI

Marquette Orthopedic & Sports Therapy, Inc.

Doing business as Marquette Orthopedic & Sports Therapy

  • Athletic Trainer
  • Marquette, MI
National Provider Identifier
1285770875
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
MARQUETTE ORTHOPEDIC & SPORTS THERAPY, INC.
Doing business as
Marquette Orthopedic & Sports Therapy
Practice address
1007 Harbor Hills Dr
Suite a
Marquette, MI 49855-8859
Phone
(906) 225-5585
Fax
(906) 225-5990
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kurt Robert Kerry, PTNPI 1669459483
Title
VP
Phone
(906) 225-5585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MI Primary

Addresses

Primary practice location

1007 Harbor Hills Dr
Suite a
Marquette, MI 49855-8859

Mailing address

1007 Harbor Hills Dr
Suite a
Marquette, MI 49855-8859
Phone (906) 225-5585

Other names 1

  • Marquette Orthopedic & Sports Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285770875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 HARBOR HILLS DR",
            "address_2": "SUITE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558859",
            "telephone_number": "906-225-5585",
            "fax_number": "906-225-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARBOR HILLS DR",
            "address_2": "SUITE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558859",
            "telephone_number": "906-225-5585",
            "fax_number": "906-225-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE ORTHOPEDIC & SPORTS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERRY",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "906-225-5585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquette Orthopedic & Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.