Individual provider Active NPI

Kaitlin Hill

  • Physical Therapist
  • Howell, MI
National Provider Identifier
1871917682
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016646 Issued in MI
Practice address
4128 E Grand River Ave
Howell, MI 48843-6538
Phone
(517) 540-1060
Fax
(517) 540-1063
NPI assigned
Feb 13, 2014
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 5501016646 MI Primary

Addresses

Primary practice location

4128 E Grand River Ave
Howell, MI 48843-6538

Mailing address

12327 Duffield Rd
Gaines, MI 48436-9739
Phone (810) 599-1823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140404000876 MI Practitioner - Physical Therapist in Private Practice 8022240100 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Max Well Therapy LLC Physical Therapist CurrentSince Sep 17, 2019 Accepting new patients
Functional Dimensions LLC Physical Therapist CurrentSince Sep 30, 2023 Accepting new patients
Max Well Therapy L.L.C. Physical Therapist CurrentSince Sep 17, 2019 Accepting new patients

Locations

1289 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 230-9750

3899 W Front St
Ste 3
Traverse City, MI 49684
Phone (231) 421-9277

Organizations & group practices 3

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1871917682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12327 DUFFIELD RD",
            "city": "GAINES",
            "state": "MI",
            "postal_code": "484369739",
            "telephone_number": "810-599-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436538",
            "telephone_number": "517-540-1060",
            "fax_number": "517-540-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.