Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346685575 Individual Practitioner Female Practitioner

Kathleen Marie Ellis , LPTA

Nursing Facility/Intermediate Care Facility • Fenton, MI

Professional Overview & Biography Verified Profile Summary

Kathleen Ellis, LPTA is a registered healthcare professional specializing in Nursing Facility/Intermediate Care Facility in Fenton, MI. Practice services are available at 512 BEACH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

512 Beach St

Fenton, MI 484303122

Telephone 8106294117
Associated Practice Facility / Clinic
🏢 Fenton Healthcare Llc Facility NPI 1114974391

Specialty Benchmarks & Practice Insights

Comparative analytics for Nursing Facility/Intermediate Care Facility in Fenton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Fenton, MI (6 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nursing Facility/Intermediate Care Facility Primary Specialty

NUCC Taxonomy Code: 313M00000X

State License MI 5502001225

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Anna Koontz , OTRL

Occupational Therapist

NPI 1144723149

Occupational Therapist Registered & Licensed

Cynthia Coleman

Physical Therapy Assistant

NPI 1184040008
Cathy Blondin

Physical Therapy Assistant

NPI 1215348958
Rebecca Stiff , LPTA

Physical Therapy Assistant

NPI 1225309495

Licensed Physical Therapist Assistant

Mindy Hamp , OTR, L

Occupational Therapist

NPI 1558608323

Occupational Therapist Registered, L

Aileen Fullen

Speech-Language Pathologist

NPI 1609374685

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2013

Registered at 512 BEACH ST, FENTON, MI 484303122 (Tel: 8106294117)

📍
Updated Business Mailing Address May 01, 2013

Registered at 11182 E RICHFIELD RD, DAVISON, MI 484238517 (Tel: 8102529888)

👤
Provider Name / Credentials Updated May 01, 2013

Recorded as KATHLEEN ELLIS, LPTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2013

Nursing Facility/Intermediate Care Facility (License #5502001225 in MI)

🟢
Initial NPI Registration & Enumeration May 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346685575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2013
Last Update: May 01, 2013
Sole Proprietor: Yes

Mailing Address

11182 E Richfield Rd

Davison, MI 484238517

Phone: 8102529888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.