Active NPI
Katherine Andary
- Physical Therapist
- Grosse Pointe Farms, MI
National Provider Identifier
1972968600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 550107083
- Practice address
- 159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610 - Phone
- (586) 443-6176
- NPI assigned
- Dec 22, 2015
- Sex
- Female
- 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 | 550107083 | MI | Primary |
Addresses
Primary practice location
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Mailing address
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (586) 443-6176
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kandary260608@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22576 Visnaw St
Saint Clair Shores, MI 48081-2641
Phone (586) 443-6176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550107083 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Form & Focus- Rehab & Wellness, PLLC | Physical Therapist | Current | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Saint Clair Shores, MI
- NPI 1417634296
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1972968600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 KERCHEVAL AVE",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363610",
"telephone_number": "586-443-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 KERCHEVAL AVE",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363610",
"telephone_number": "586-443-6176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDARY",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-22",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "550107083",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kandary260608@direct.hfhs.org",
"affiliation": "N",
"address_1": "159 Kercheval Ave",
"city": "Grosse Pointe Farms",
"state": "MI",
"country_code": "US",
"postal_code": "482363610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grosse Pointe Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.