Kelsey Vanderlaan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017722 Issued in MI

Practice address

15520 19 Mile Rd
Suite 450
Clinton Township, MI 48038-6333

Phone

(586) 416-2000

Fax

(586) 416-2013

NPI assigned

Jun 16, 2016

Last updated

Feb 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Roberts Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosport Physical Therapy and Athletic Rehabilitation IncGroup PAC ID 0547203952, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.95 of 100Reported as group

Quality

94.34

Improvement activities

40

Cost

77.4

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Orthosport Physical Therapy and Athletic Rehabilitation Inc.

  • Orthopedic Physical Therapist
  • Petoskey, MI
  • NPI 1710995246
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1225488638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 19 MILE RD",
            "address_2": "SUITE 450",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386333",
            "telephone_number": "586-416-2000",
            "fax_number": "586-416-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLAAN",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ROBERTS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael John Valenti Jr., PSYD, LLP
• Joy Margaret Van Bael, C.M.T.
• Sarah E Van Horn, LMSW
• Toni Rene Van Rijn
• Lisa Vancleve
• Colleen Erin Vandermeer, M.A., LLP
• Carolynne Vanderveen, LLMSW
• Eve M Vanegmond, MD
• Mary Vang, MA, LPC
• Krishna Vanganur

• Physical Therapist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.