Individual provider Active NPI

Kourtney Willert, DPT

  • Physical Therapist
  • Detroit, MI
National Provider Identifier
1508279514
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016743 Issued in MI
Practice address
6525 2ND Ave
Detroit, MI 48202-3006
Phone
(313) 972-4140
Fax
(313) 972-4134
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 5501016743 MI Primary

Addresses

Primary practice location

6525 2ND Ave
Detroit, MI 48202-3006

Mailing address

6525 2ND Ave
Detroit, MI 48202-3006
Phone (313) 972-4140

Other practice location 1

9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (734) 416-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwillert1197342@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708001784 MI Practitioner - Physical Therapist in Private Practice 3274758206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453

33900 Harper Ave
Clinton Township, MI 48035-4258

937 N Opdyke Rd
Auburn Hills, MI 48326-2641

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
83.66
Improvement activities
40
Cost
95.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016743MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas R Perkins DO PLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

937 N Opdyke Rd
Auburn Hills, MI 48326
Phone (248) 373-7600

1349 S Rochester Rd
Ste 215
Rochester Hills, MI 48307
Phone (248) 218-5150

1349 S Rochester Rd
Ste 205
Rochester Hills, MI 48307
Phone (248) 239-5300

Interoperability endpoints

  • Direct secure messaging: kourtneywillert@rhosm.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1508279514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023006",
            "telephone_number": "313-972-4140",
            "fax_number": "313-972-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023006",
            "telephone_number": "313-972-4140",
            "fax_number": "313-972-4134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9368 N Lilley Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704610",
            "country_code": "US",
            "telephone_number": "734-416-3900",
            "fax_number": "734-453-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLERT",
        "first_name": "KOURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwillert1197342@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6525 2nd Ave",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482023006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.

Verify at the official NPI Registry.