Active NPI
Kelsey Blegen
- Physical Therapist
- Flint, MI
National Provider Identifier
1265935860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2413 W Maple Ave
Flint, MI 48507-3429 - Phone
- (810) 591-4400
- NPI assigned
- Mar 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2413 W Maple Ave
Flint, MI 48507-3429
Mailing address
8810 Gera Rd
Birch Run, MI 48415-9225
Other practice location 1
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265935860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 GERA RD",
"city": "BIRCH RUN",
"state": "MI",
"postal_code": "484159225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 W MAPLE AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485073429",
"telephone_number": "810-591-4400"
}
],
"practiceLocations": [
{
"address_1": "1447 N Harrison St",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486024727",
"country_code": "US",
"telephone_number": "989-583-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLEGEN",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.