Individual provider Active NPI

Kateri Rybicki Silverthorn, DPT

  • Physical Therapist
  • Marysville, MI
National Provider Identifier
1861161887
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501020257 Issued in MI
Practice address
1020 Gratiot Blvd Ste B
Marysville, MI 48040-2310
Phone
(810) 201-4728
Fax
(810) 821-8636
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 5501020257 MI Primary

Addresses

Primary practice location

1020 Gratiot Blvd Ste B
Marysville, MI 48040-2310

Mailing address

1020 Gratiot Blvd Ste B
Marysville, MI 48040-2310
Phone (810) 201-4728

Other practice location 1

243 Cass Ave Ste A
Mount Clemens, MI 48043-2124
Phone (586) 783-7590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920000268 MI Practitioner - Physical Therapist in Private Practice 7214334275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Michigan Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 Gratiot Blvd
Suite B
Marysville, MI 48040-2310
Phone (810) 201-4728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501020257MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Project Movement LLC Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients

Locations

1020 Gratiot Blvd
Ste B
Marysville, MI 48040
Phone (810) 201-4728

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1861161887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GRATIOT BLVD STE B",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402310",
            "telephone_number": "810-201-4728",
            "fax_number": "810-821-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GRATIOT BLVD STE B",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402310",
            "telephone_number": "810-201-4728",
            "fax_number": "810-821-8636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Cass Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432124",
            "country_code": "US",
            "telephone_number": "586-783-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERTHORN",
        "first_name": "KATERI",
        "middle_name": "RYBICKI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.