Active NPI
Kathleen Zubok, DPT
- Physical Therapist
- Dearborn Heights, MI
National Provider Identifier
1831637719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018065
- Practice address
- 5670 N Telegraph Rd
Dearborn Heights, MI 48127-3219 - Phone
- (313) 633-9586
- Fax
- (313) 633-9589
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018065 | MI | Primary |
Addresses
Primary practice location
5670 N Telegraph Rd
Dearborn Heights, MI 48127-3219
Mailing address
33900 Harper Ave
Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 416-9100
Other names 1
- Kathleen Bowerson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1831637719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE",
"address_2": "STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 N TELEGRAPH RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273219",
"telephone_number": "313-633-9586",
"fax_number": "313-633-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUBOK",
"first_name": "KATHLEEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BOWERSON",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.