Katherine Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302549 Issued in MI

Practice address

1100 E Michigan Ave
Grayling, MI 49738-1312

Phone

(989) 348-5461

NPI assigned

Oct 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Falcioni Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1912302019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 CHARLES BRINK RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381312",
            "telephone_number": "989-348-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Huron St",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "OH",
            "postal_code": "448391752",
            "country_code": "US",
            "telephone_number": "800-330-7711 x247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013822",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FALCIONI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Frances Sims, FNP-C
• Douglas Harley Slater, MD
• Breanna Marie Smith
• Carrie Smith
• Christine Michelle Smith, LBSW
• Jillian Smithingell
• Melissa Solis, CRNA
• Sound Inpatient Physicians-Michigan PLLC
• Eric Bradley South
• Ashley Spencer

• Physical Therapist in Grayling, MI
• Providers in Grayling, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.