Individual provider Active NPI

Kelsie Wilbon, PT, DPT

  • Physical Therapist
  • Macomb, MI
National Provider Identifier
1275410011
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501304074 Issued in MI
Practice address
52900 Garfield Rd
Macomb, MI 48042-3573
Phone
(586) 991-1399
Fax
(586) 218-3111
NPI assigned
Aug 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501304074 MI Primary

Addresses

Primary practice location

52900 Garfield Rd
Macomb, MI 48042-3573

Mailing address

52900 Garfield Rd
Macomb, MI 48042-3573
Phone (586) 991-1399

Other names 1

  • Kelsie Payton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903004308 MI Practitioner - Physical Therapist in Private Practice 5294237871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Oakland Univ, William Beaumont School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan in Motion Physical Therapy, LLCGroup PAC ID 5395136766, 7 clinicians

Practice addresses (Care Compare)

52900 Garfield Rd
Macomb, MI 48042-3573
Phone (586) 991-1399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501304074MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan in Motion Physical Therapy, LLC Physical Therapist CurrentSince Aug 20, 2025 Accepting new patients

Locations

52900 Garfield Rd
Macomb, MI 48042
Phone (586) 991-1399

Organizations & group practices 1

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1275410011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399",
            "fax_number": "586-218-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399",
            "fax_number": "586-218-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBON",
        "first_name": "KELSIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSIE",
            "last_name": "PAYTON",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.