Individual provider Active NPI

Kristi N Pifer, PT

  • Physical Therapist
  • Mt Pleasant, MI
National Provider Identifier
1942367263
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009552 Issued in MI
Practice address
1106 W High St
Mt Pleasant, MI 48858-2242
Phone
(989) 779-2920
Fax
(989) 772-9424
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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 5501009552 MI Primary

Addresses

Primary practice location

1106 W High St
Mt Pleasant, MI 48858-2242

Mailing address

1106 W High St
Mt Pleasant, MI 48858-2242
Phone (989) 779-2920

Other identifiers 2

IdentifierTypeStateIssuer
352191234OtherMIPPOM PROVIDER NUMBER
650C710780OtherMIBCBS OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020001453 MI Practitioner - Physical Therapist in Private Practice 4183817323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Town Rehab, IncGroup PAC ID 8729069109, 4 clinicians

Practice addresses (Care Compare)

1106 W High St
Mt Pleasant, MI 48858-2242
Phone (989) 779-2920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Town Rehab, Inc Physical Therapist CurrentSince May 20, 2003 Accepting new patients

Locations

1106 W High St
Mt Pleasant, MI 48858
Phone (989) 779-2920

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1942367263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W HIGH ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582242",
            "telephone_number": "989-779-2920",
            "fax_number": "989-772-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W HIGH ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582242",
            "telephone_number": "989-779-2920",
            "fax_number": "989-772-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIFER",
        "first_name": "KRISTI",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM PROVIDER NUMBER",
            "identifier": "352191234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "650C710780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.