Kelsey Rose Dayland
Individual provider Active NPI Physical Therapist · Portage, WI
NPI 1306598487 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1306598487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 15573-24 (WI)
- Practice address
- 2817 New Pinery Rd
Portage, WI 53901-9240 - Phone
- (608) 745-6290
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240312002212 | WI | Practitioner - Physical Therapist in Private Practice | 6002252129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Savior Healthcare, Inc. | Current |
Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15573-24 | WI | Yes |
Addresses
Primary practice location
2817 New Pinery Rd
Portage, WI 53901-9240
Mailing address
319 Valley Glen CT
Baraboo, WI 53913-8941
Phone (563) 542-8454
Other providers in Portage, WI
- Kathryn E. Dalton
- Peggy Dalton
- Bridget Lyn Davidson
- Austin Thomas Davies
- Jaimee Davila
- Dean Health Systems, Inc
- Dean Health Systems, Inc
- Dean Health Systems, Inc.
- Dean Retail Services, Inc.
- Danielle Debruyne
All providers in Portage, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.