Katherine L Kusowski, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Freeland, MI
NPI 1639675234 · NPPES record last updated Apr 3, 2018
Key facts
- NPI
- 1639675234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 5501005134 (MI)
- Practice address
- 5694 Midland Rd
Freeland, MI 48623-8845 - Phone
- (989) 695-2466
- Fax
- (989) 695-4944
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Body Mechanics Rehabilitation and Wellness, LLC
Practice addresses (Care Compare)
143 S 1St St
Freeland, MI 48623-2500
Phone (989) 859-5898
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260304001862 | MI | Practitioner - Physical Therapist in Private Practice | 0446732937 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005134 | MI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Mechanics Rehabilitation & Wellness, LLC | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist |
2251X0800X | 5501005134 | MI | Yes |
Addresses
Primary practice location
5694 Midland Rd
Freeland, MI 48623-8845
Mailing address
7566 Thornberry Dr
Freeland, MI 48623-8527
Phone (989) 385-7566
Other providers in Freeland, MI
- Jenna Sue Kiss
- Heather Lynn Kittle
- Jasmine Nicole Kraft
- Jaime Sue Kretz
- Sushma Kurella
- Yvonne Marie Kwapis
- Alexis Laframboise
- Casey Seamus Larkin
- Madison Lynn Laudenslager
- Katherine Ann Lavielle
All providers in Freeland, MI · Orthopedic Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.