Individual provider Active NPI

Kaitlyn Louise Hill, PT, DPT

  • Physical Therapist
  • Okemos, MI
National Provider Identifier
1871353540
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303243 Issued in MI
Practice address
2301 W Grand River Ave
Okemos, MI 48864-1648
Phone
(517) 853-6800
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 5501303243 MI Primary

Addresses

Primary practice location

2301 W Grand River Ave
Okemos, MI 48864-1648

Mailing address

2597 Martina Dr Apt 1
Holt, MI 48842-1164
Phone (517) 630-6522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002102 MI Practitioner - Physical Therapist in Private Practice 0941647713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Physical Therapy PLCGroup PAC ID 2769660521, 25 clinicians

Practice addresses (Care Compare)

2301 W Grand River Ave
Okemos, MI 48864-1648
Phone (517) 853-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303243MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy, PLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Ryan and Monica Wohlfert, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

2301 W Grand River Ave
Okemos, MI 48864
Phone 5178536800 ext. 2

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1871353540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 MARTINA DR APT 1",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421164",
            "telephone_number": "517-630-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W GRAND RIVER AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641648",
            "telephone_number": "517-853-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KAITLYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.