Active NPI
Kaitlin Christine Poschke, PT
- Physical Therapist
- Farmington Hills, MI
National Provider Identifier
1295035749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015349
- Practice address
- 33481 W 14 Mile Rd
Suite130
Farmington Hills, MI 48331-1578 - Phone
- (248) 661-6708
- Fax
- (248) 661-8051
- NPI assigned
- Nov 1, 2010
- 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 | 5501015349 | MI | Primary |
Addresses
Primary practice location
33481 W 14 Mile Rd
Suite130
Farmington Hills, MI 48331-1578
Mailing address
33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4256
Phone (586) 416-9100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015349 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1295035749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE",
"address_2": "SUITE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354256",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33481 W 14 MILE RD",
"address_2": "SUITE130",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483311578",
"telephone_number": "248-661-6708",
"fax_number": "248-661-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSCHKE",
"first_name": "KAITLIN",
"middle_name": "CHRISTINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.