Kelsey Brown, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019700 Issued in MI

Practice address

1175 Wilson Ave NW
Walker, MI 49534-6407

Phone

(616) 284-3686

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

• Kelsey Harrison Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2021.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1023619210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045283",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 WILSON AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495346407",
            "telephone_number": "616-284-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELSEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HARRISON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alayna Boomgaard, LMSW-C
• Wendy L Bradley, PT
• Karen Braun
• Leslie Briggs
• Andrew Paul Bringard, OD
• Stacy Lynn Brown, LMSW
• Keiran Noelle Buell, PHARMD
• Jacob D Burnside
• Lindsey Burrell
• Elizabeth Ashley Caliman, PHARM.D.

• All providers in Walker, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.