MEDICARE: KATE ALISON MAURER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501016318	MI

General Provider Information

NPI Number	:	1720485311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE ALISON MAURER PT, DPT

Provider Business Mailing Address
First Line	:	804 N WATER ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5620
Country	:	US
Telephone Number	:	989-573-8266
Fax Number	:	989-778-1237

Provider Business Practice Location Address
First Line	:	5460 W ROLLING HILLS DR
Second Line	:
City	:	BRIDGEPORT
State	:	MI
Zip	:	48722-9668
Country	:	US
Telephone Number	:	892-724-5009
Fax Number	:	989-272-4501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2014
Last Update Date	:	02/18/2025

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