Kathryn Luther, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019800 Issued in MI

Practice address

3240 W Silver Lake Rd
Fenton, MI 48430-1374

Phone

(810) 714-4616

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Physical Therapy Center, Inc

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1154331262
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1396347456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 BULLARD RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532013",
            "telephone_number": "248-891-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301374",
            "telephone_number": "810-714-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "KATHRYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5501019800",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "6167 White Lake Rd Ste 1",
            "city": "Clarkston",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483462070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "3240 W Silver Lake Rd",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484301374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marc Longe, DDS
• Susan H Longe, MD
• Lorday Systems, Inc.
• Hayley Lubinski, LLMSW
• Marta Elizabeth Lundquist-Shaw
• Suzanne Lynch
• Mac Optical
• Mac Optical
• Tammy Mackenzie
• Kaelin Magrath, PA-C

• Physical Therapist in Fenton, MI
• Providers in Fenton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.