Active NPI
Kathryn Gomane, DPT
- Physical Therapist
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014327
- Practice address
- 2222 S Linden Rd Ste B
Flint, MI 48532-5413 - Phone
- (888) 218-4045
- Fax
- (810) 249-4230
- NPI assigned
- Apr 3, 2015
- 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 | 5501014327 | MI | Primary |
Addresses
Primary practice location
2222 S Linden Rd Ste B
Flint, MI 48532-5413
Mailing address
3495 South Center Road
Burton, MI 48519-1030
Phone (810) 424-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376938563 | Medicaid | MI |
Other names 1
- Kathryn Reed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1096 S Belsay Rd
Suite G
Burton, MI 48509-1948
Phone (810) 743-1611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014327 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Henry Ford Medical Group Genesys | Physical Therapist | Current | Accepting new patients |
Locations
3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025
1096 S Belsay Rd
Ste G
Flint, MI 48509
Phone (810) 743-1611
2222 S Linden Rd
Ste B
Flint, MI 48532
Phone (810) 733-8222
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
861 Health Park Blvd
Grand Blanc, MI 48439
Phone (810) 953-0095
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Burton, MI
- NPI 1598248718
-
- Physical Therapist
- Burton, MI
- NPI 1720959661
-
- Physical Therapist
- Burton, MI
- NPI 1114495793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376938563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 SOUTH CENTER ROAD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191030",
"telephone_number": "810-424-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S LINDEN RD STE B",
"city": "FLINT",
"state": "MI",
"postal_code": "485325413",
"telephone_number": "888-218-4045",
"fax_number": "810-249-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMANE",
"first_name": "KATHRYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376938563",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "REED",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.