Individual provider Active NPI

Katherine Partyka, PT

  • Physical Therapist
  • Rockford, MI
National Provider Identifier
1669955787
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018870 Issued in MI
Practice address
11561 Edgerton Ave NE
Rockford, MI 49341-9150
Phone
(616) 866-2727
Fax
(616) 866-2729
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 5501018870 MI Primary

Addresses

Primary practice location

11561 Edgerton Ave NE
Rockford, MI 49341-9150

Mailing address

PO Box 412031
Boston, MA 02241-9150
Phone (914) 294-4050

Other practice location 1

17615 W Moore
Grant, MI 49327-9408
Phone (231) 834-0208

Other practice location 2

1264 Plainfield Ave NE
Grand Rapids, MI 49505-4929
Phone (616) 888-7993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101003390 MI Practitioner - Physical Therapist in Private Practice 5597018812 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Jun 6, 2022 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Jan 18, 2024 Accepting new patients
Ivyrehab Northern PT, LLC Past Accepting new patients
Northern Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

1264 Plainfield Ave NE
Grand Rapids, MI 49505
Phone (616) 888-7993

437 Butternut Dr
Holland, MI 49424
Phone (616) 355-3022

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

11561 Edgerton Ave NE
Rockford, MI 49341
Phone (616) 866-2727

7180 Highland Rd
Waterford, MI 48327
Phone (248) 666-4020

Organizations & group practices 6

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1669955787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419150",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11561 EDGERTON AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419150",
            "telephone_number": "616-866-2727",
            "fax_number": "616-866-2729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17615 W Moore",
            "address_purpose": "LOCATION",
            "city": "Grant",
            "state": "MI",
            "postal_code": "493279408",
            "country_code": "US",
            "telephone_number": "231-834-0208",
            "fax_number": "616-965-2475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1264 Plainfield Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495054929",
            "country_code": "US",
            "telephone_number": "616-888-7993",
            "fax_number": "616-432-2924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTYKA",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.