Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Lake

Individual provider Physical Therapist · NPI 1225793722

Katherine Lake is a Physical Therapist in Private Practice in Ypsilanti, Michigan. Qualified in 2020, 6 years ago. Practices with Probility Therapy Services, a 106-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

3145 W Clark Rd Ste 102
Ypsilanti, MI 48197-1120
Phone: (734) 528-9760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501301736 (MI)

Record details

NPI number1225793722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Probility Therapy Services — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ypsilanti