Active NPI
Kathyrn Reaume
- Physical Therapist
- Chesterfield, MI
National Provider Identifier
1295224491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 30795 23 Mile Rd
Chesterfield, MI 48047-5720 - Phone
- (586) 421-3030
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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
30795 23 Mile Rd
Chesterfield, MI 48047-5720
Mailing address
30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382947657 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | creaume714314@direct.hfhs.org |
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": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618099200000",
"number": "1295224491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475720",
"telephone_number": "586-421-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30795 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480475720",
"telephone_number": "586-421-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAUME",
"first_name": "KATHYRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2021-04-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382947657",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "creaume714314@direct.hfhs.org",
"affiliation": "N",
"address_1": "30795 23 Mile Rd",
"city": "Chesterfield",
"state": "MI",
"country_code": "US",
"postal_code": "480475720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.