Organization Active NPI

Kate Fether Physio & Dance LLC

  • Physical Therapist
  • Marquette, MI
National Provider Identifier
1861227563
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KATE FETHER PHYSIO & DANCE LLC
Practice address
6044 US 41 S Ste 1
Marquette, MI 49855-9090
Phone
(248) 840-9404
NPI assigned
Sep 4, 2024
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katherine Fether, P.T.NPI 1588145346
Title
Owner Provider Authorized Official
Phone
(248) 840-9404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6044 US 41 S Ste 1
Marquette, MI 49855-9090

Mailing address

1708 Woodland Ave
Marquette, MI 49855-1516
Phone (248) 840-9404

Other practice location 1

1708 Woodland Ave
Marquette, MI 49855-1516
Phone (248) 840-9404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250317001244 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698297901 Receives reassigned benefits from 1 practitioner
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

6044 US 41 S
Ste 1
Marquette, MI 49855
Phone (248) 840-9404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1861227563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 WOODLAND AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498551516",
            "telephone_number": "248-840-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 US 41 S STE 1",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559090",
            "telephone_number": "248-840-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498551516",
            "country_code": "US",
            "telephone_number": "248-840-9404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATE FETHER PHYSIO & DANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "FETHER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER PROVIDER AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-840-9404",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.