Individual provider Active NPI

Karin Lynn Leland, DPT

  • Physical Therapist
  • Petoskey, MI
National Provider Identifier
1467899138
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016311 Issued in MI
Practice address
4048 Cedar Bluff Dr Ste 2
Petoskey, MI 49770-8895
Phone
(231) 347-3900
NPI assigned
Jun 4, 2013
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016311 MI Primary

Addresses

Primary practice location

4048 Cedar Bluff Dr Ste 2
Petoskey, MI 49770-8895

Mailing address

4048 Cedar Bluff Dr Ste 2
Petoskey, MI 49770-8895
Phone (231) 347-9300

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

LicenseStateTypeSpecialty
5501016311MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Sports Medicine Center Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Mid Michigan Physical Therapy Specialists, LLC Physical Therapist PastSince Sep 1, 2005 Accepting new patients
DPT Holdings, LLC Physical Therapist PastSince Mar 31, 2021 Accepting new patients

Locations

8452 M 119
Harbor Springs, MI 49740
Phone (231) 348-7002

4048 Cedar Bluff Dr
Ste 2
Petoskey, MI 49770
Phone (231) 347-5120

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1467899138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR STE 2",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-9300",
            "fax_number": "231-347-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR STE 2",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAND",
        "first_name": "KARIN",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.