Kurt Robert Kerry, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005052 Issued in MI

Practice address

700 W Washington St
Suite B
Marquette, MI 49855-4163

Phone

(906) 225-5585

Fax

(906) 225-5990

NPI assigned

Dec 22, 2005

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Marquette Orthopedic & Sports Therapy, Inc.

  dba Marquette Orthopedic & Sports Therapy

  • Athletic Trainer
  • Marquette, MI
  • NPI 1285770875
  NPD (past) Authorized official
• Marquette Orthopedic and Sports Therapy Inc.

  • Physical Therapist
  • Marquette, MI
  • NPI 1225154834
  Authorized official Same address or phone

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1669459483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 JYLHA RD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498669570",
            "telephone_number": "906-360-0957",
            "fax_number": "906-225-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W WASHINGTON ST",
            "address_2": "SUITE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554163",
            "telephone_number": "906-225-5585",
            "fax_number": "906-225-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERRY",
        "first_name": "KURT",
        "middle_name": "ROBERT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "65-0-E2-1063-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary Kenney, M.A.,CCC-SLP
• Elizabeth Kent, LMSW, CAADC, CCS,ADS
• Danielle Kristine Keough, BCBA
• Garrett James Kerns, D.O.
• Lisa Lene Kerrigan, R.N.
• August Keso, RN
• Nicole Ketola
• Wael Khouli, MD
• Sarah Kilpela, OTRL
• Pamela Marie Kimble, LLMSW

• Physical Therapist in Marquette, MI
• Providers in Marquette, 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 6, 2016; 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.