KATELYN M ERICKSON (PT, DPT) – Physical Therapist, NPI 1043095201

KATELYN M ERICKSON (PT, DPT) is a healthcare provider. based in Spring lake, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501302844 (MI). The NPI Number for KATELYN M ERICKSON (PT, DPT) is 1043095201

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN M ERICKSON (PT, DPT)
NPI
1043095201
Phone
(616) 847-1280
Address
18000 COVE ST STE 202
Enumeration Date
28 August 2023
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168471280
Graduation Year
2023 (3 years ago)
PAC ID
1658735337
Group Practice PAC ID
4284673575
Professional Enrollment ID
I20230913003324
Address ID
MI494561383SP18000STXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KATELYN M ERICKSON (PT, DPT)

  • 18000 COVE ST STE 202

    SPRING LAKE, MI 494561383

    Phone: (616) 847-1280

    Fax: (616) 847-1290

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230913003324IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49456)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284673575View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify KATELYN M ERICKSON (PT, DPT) with an NPI only?
You can start verification with NPI 1043095201 for KATELYN M ERICKSON (PT, DPT), then check state licensing separately.
Does the file indicate KATELYN M ERICKSON (PT, DPT) is practicing under active NPI?
Directory data currently reports KATELYN M ERICKSON (PT, DPT) as active.
What healthcare role does KATELYN M ERICKSON (PT, DPT) hold?
Scheduling teams often label KATELYN M ERICKSON (PT, DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Does KATELYN M ERICKSON (PT, DPT) list a practice location?
Patients near Spring Lake, Michigan may find KATELYN M ERICKSON (PT, DPT) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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