Active NPI
Seth Polfus
- Physical Therapist
- Kingsford, MI
National Provider Identifier
1952297202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303963
- Practice address
- 505 N Hooper St
Kingsford, MI 49802-5406 - Phone
- (906) 776-9003
- NPI assigned
- Jun 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303963 | MI | Primary |
Addresses
Primary practice location
505 N Hooper St
Kingsford, MI 49802-5406
Mailing address
7808 Hasbrook Dr
Lake Tomahawk, WI 54539-9522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303963 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749859200000",
"number": "1952297202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 HASBROOK DR",
"city": "LAKE TOMAHAWK",
"state": "WI",
"postal_code": "545399522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N HOOPER ST",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498025406",
"telephone_number": "906-776-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLFUS",
"first_name": "SETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-14",
"last_updated": "2025-06-14",
"certification_date": "2025-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.