Katie Jo Homkes, PTA

Individual provider Active NPI Physical Therapy Assistant · Hamilton, MI

NPI 1366477663 · NPPES record last updated Apr 14, 2010

Key facts

NPI
1366477663
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
3491 M-40
Hamilton, MI 49419
Phone
(269) 751-2150
Fax
(269) 751-2140
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Rehabilitation PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

3491 M-40
Hamilton, MI 49419

Mailing address

44 E. 8TH Street
Suite 205
Holland, MI 49423
Phone (616) 392-3197

Other providers in Hamilton, MI

All providers in Hamilton, MI · Physical Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.