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

Kathryn Elizabeth Blank, PT, DPT

Individual provider Physical Therapist · NPI 1023621349

Kathryn Elizabeth Blank, PT, DPT is a Physical Therapist in Private Practice in Big Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Ivyrehab Michigan LLC, a 155-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

404 Perry Ave Ste B
Big Rapids, MI 49307-2246
Phone: (231) 753-1236
Fax: (231) 867-9006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1535 44th St Sw, Wyoming, MI 49509 — (616) 530-1977

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019706 (MI)

Record details

NPI number1023621349
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 26, 2020
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

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 Ivyrehab Michigan Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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