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

Katherine S Fuller

Individual provider Physical Therapist · NPI 1215408810

Katherine S Fuller is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 1991, 35 years ago. Practices with Tmi East Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Licensed in
MI
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1700 Leonard St NE
Grand Rapids, MI 49505-5636
Phone: (616) 456-7243
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501004792 (MI)

Record details

NPI number1215408810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2018
Last updated in NPPESDecember 9, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Tmi East Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grand Rapids