KATHRYN MCKINNON (DPT) – Physical Therapist, NPI 1114334448

KATHRYN MCKINNON (DPT) is a healthcare provider. based in Grand blanc, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501016518 (MI). The NPI Number for KATHRYN MCKINNON (DPT) is 1114334448

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN MCKINNON (DPT)
NPI
1114334448
Phone
(810) 695-8700
Address
10809 S SAGINAW ST
Enumeration Date
18 July 2014
Last Update Date
23 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102121277
Graduation Year
2013 (13 years ago)
PAC ID
8224476049
Group Practice PAC ID
5395004451
Professional Enrollment ID
I20240329000536
Address ID
MI484558998ME3562XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KATHRYN MCKINNON (DPT)

  • 10809 S SAGINAW ST

    GRAND BLANC, MI 484397033

    Phone: (810) 695-8700

    Fax: (810) 695-7946

    Type: Location

  • 3562 S LAPEER RD STE F

    METAMORA, MI 484558998

    Phone: (810) 212-1277

    Fax: (810) 695-7946

    Type: Location

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: 2024-03-29

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
I20240329000536IPhysical 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 48439)

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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: 5395004451View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeMI
-IL

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Frequently asked questions

Does KATHRYN MCKINNON (DPT) have a public NPI I can cite?
Public records show KATHRYN MCKINNON (DPT) under NPI 1114334448.
Quick check: is KATHRYN MCKINNON (DPT) active?
Public NPPES data shows KATHRYN MCKINNON (DPT) with an active NPI status right now.
What does the directory say KATHRYN MCKINNON (DPT) does?
Insurance directories may phrase it differently, but here KATHRYN MCKINNON (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHRYN MCKINNON (DPT)?
KATHRYN MCKINNON (DPT) is associated with Grand Blanc, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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