KATHERINE S FULLER (NPI# 1215408810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215408810 |
| Entity Type | Individual |
| Full Name | KATHERINE S FULLER |
| Practice Address |
1700 Leonard St Ne Grand Rapids MI 49505-5636 |
| Mailing Address |
2461 Black Horse Dr Ne # Ni Grand Rapids MI 49505-3969 |
| Practice Telephone | 6164567243 |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2018-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501004792 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528453420 | Katherine Fuller | Student in an Organized Health Care Education/Training Program | 750 W Ashby Rd, Brierfield, AL 35035-3437 | 2015-03-30 |
| 1407068281 | Katherine Angel Fuller | Social Worker | 1785 W Stadium Blvd Ste 201c, Ann Arbor, MI 48103-5291 | 2007-05-04 |
| 1669953634 | Katherine L Fuller | Audiologist | 144 Concord Rd, Knoxville, TN 37934-2901 | 2018-08-27 |
| 1235247131 | Katherine H Fuller | Registered Nurse | 750 North 200 West, Provo, UT 84601 | 2006-08-29 |
| Street Address |
1700 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225078520 | Jamie S Allen | Nurse Practitioner | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2006-06-07 |
| 1033768122 | Kimberly Ranee Withers | Occupational Therapy Assistant | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2019-09-10 |
| 1740779370 | Greenview Snf, LLC | Skilled Nursing Facility | 1700 Leonard St Ne, Grand Rapids, MI 49505 | 2018-05-09 |
| 1518317445 | Jamie Lynn Seppamaki-mccabe | Physical Therapist | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2016-06-22 |
| 1568404259 | Heartland-greenview Mi LLC | Skilled Nursing Facility | 1700 Leonard St Ne, Grand Rapids, MI 49505-5636 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991392 | Daniel Paul Swanson | Physical Therapist | 2849 Michigan St Ne Ste 100, Grand Rapids, MI 49506-1216 | 2020-10-26 |
| 1902454820 | Nicholas Vandermyde | Physical Therapist | 2991 Deli Dr Ne, Grand Rapids, MI 49525-3130 | 2019-09-04 |
| 1811545031 | Kyle Vanderwoude | Physical Therapist | 933 3 Mile Rd Nw Ste 104, Grand Rapids, MI 49544-1673 | 2019-08-30 |
| 1881241032 | Peter Curtis | Physical Therapist | 120 43rd St Se # 100, Grand Rapids, MI 49548-3354 | 2019-08-22 |
| 1750934170 | Alexis Cherven | Physical Therapist | 4787 Shady Pine Ln Se, Grand Rapids, MI 49546-6334 | 2019-07-24 |
| 1386100956 | Brady Eaton Smith | Physical Therapist | 1471 E Beltline Ave Ne Ste 104, Grand Rapids, MI 49525-4548 | 2019-02-19 |
| 1487126355 | Kathleen Ann Moelker | Physical Therapist | 2100 Raybrook St Se Ste 303, Grand Rapids, MI 49546-5783 | 2018-12-17 |
| 1023587946 | Counterstrain Physical Therapy Pllc | Physical Therapist | 3501 Lake Eastbrook Blvd Se Ste 138, Grand Rapids, MI 49546-5939 | 2018-11-20 |
| 1639648728 | Elina Simonen | Physical Therapist | 630 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-8626 | 2018-11-19 |
| 1972071504 | Stacie Bronkema | Physical Therapist | 1430 Monroe Ave Nw Ste 120, Grand Rapids, MI 49505-4678 | 2018-11-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on KATHERINE S FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.