Active NPI
Kelsey A Kessler, DPT
- Physical Therapist
- Hermann, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2014004181
- Practice address
- 164 Blue Pride Dr Ste 105
Hermann, MO 65041-1593 - Phone
- (573) 486-2116
- NPI assigned
- Mar 24, 2014
- Last updated
- Mar 17, 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 | 2014004181 | MO | Primary |
Addresses
Primary practice location
164 Blue Pride Dr Ste 105
Hermann, MO 65041-1593
Mailing address
164 Blue Pride Dr Ste 105
Hermann, MO 65041-1593
Phone (573) 486-2116
Other practice location 1
790 N Highway 67
Florissant, MO 63031-5108
Phone (314) 972-1442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2018 Phoenix Ctr Dr
Washington, MO 63090-5544
Phone (636) 283-2185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
118 Richardson Xing
Arnold, MO 63010
Phone (636) 206-4146
179 Eureka Towne Center Dr
Eureka, MO 63025
Phone (636) 206-6725
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
Interoperability endpoints
- kelsey.bock.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
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.
-
dba Axes Physical Therapy
- Physical Therapy Clinic/Center
- Washington, MO
- NPI 1679032700
-
dba Axes Physical Therapy
- Physical Therapy Clinic/Center
- O'Fallon, MO
- NPI 1003280421
Physical Therapist
-
dba Axes Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407273998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 BLUE PRIDE DR STE 105",
"city": "HERMANN",
"state": "MO",
"postal_code": "650411593",
"telephone_number": "573-486-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 BLUE PRIDE DR STE 105",
"city": "HERMANN",
"state": "MO",
"postal_code": "650411593",
"telephone_number": "573-486-2116"
}
],
"practiceLocations": [
{
"address_1": "790 N Highway 67",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630315108",
"country_code": "US",
"telephone_number": "314-972-1442",
"fax_number": "314-972-1533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESSLER",
"first_name": "KELSEY",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2014004181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermann, MO
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.
- 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.