Individual provider Active NPI

Kelsey Vostad, DPT

  • Physical Therapist
  • Byron Center, MI
National Provider Identifier
1114749108
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501304052 Issued in MI
Practice address
6500 Byron Center Ave SW Ste 202
Byron Center, MI 49315-9083
Phone
(616) 249-0750
Fax
(616) 249-0794
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-033914 AZ
Physical Therapist 225100000X 5501304052 MI Primary
Physical Therapist 225100000X PTL.0020159 CO
Physical Therapist 225100000X 6546 NV
Physical Therapist 225100000X PT61645769 WA

Addresses

Primary practice location

6500 Byron Center Ave SW Ste 202
Byron Center, MI 49315-9083

Mailing address

5060 Cascade Rd SE Ste a
Grand Rapids, MI 49546-3808
Phone (616) 249-0750

Other names 1

  • Kelsey Heitzman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, WA, MI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20241108002403 NV Practitioner - Physical Therapist in Private Practice 7810421112 Reassigns benefits to 1 organization
I20241209004102 AZ Practitioner - Physical Therapist in Private Practice 7810421112 Reassigns benefits to 1 organization
I20250422002337 WA Practitioner - Physical Therapist in Private Practice 7810421112 Reassigns benefits to 1 organization
I20251006001519 MI Practitioner - Physical Therapist in Private Practice 7810421112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470
Phone (425) 392-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-033914AZMDPhysical Therapist
PTL.0020159COMDPhysical Therapist
PT61645769WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Oct 28, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Center for Physical Rehabilitation and Therapy LP Physical Therapist CurrentSince Sep 19, 2025 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist PastSince Dec 1, 2024 Accepting new patients
Center for Physical Rehabilitation Inc Physical Therapist PastSince Sep 28, 2025 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

6872 E Sunrise Dr
Ste 100
Tucson, AZ 85750
Phone (520) 989-5515

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

6500 Byron Center Ave SW
Ste 202
Byron Center, MI 49315
Phone (616) 249-0750

5060 Cascade Rd SE
Ste A
Grand Rapids, MI 49546
Phone (616) 954-0950

901 W Main St
Lowell, MI 49331
Phone (616) 897-7055

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

4370 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 443-9301

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

405 NW Gilman Blvd
Ste 200
Issaquah, WA 98027
Phone (425) 392-6804

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

6985 Coal Creek Pkwy SE
Newcastle, WA 98059
Phone (425) 378-0500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1114749108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "616-249-0750",
            "fax_number": "616-249-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BYRON CENTER AVE SW STE 202",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159083",
            "telephone_number": "616-249-0750",
            "fax_number": "616-249-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSTAD",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033914",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304052",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020159",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6546",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61645769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HEITZMAN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.