Kelsey M Knie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017707 Issued in MI

Practice address

47635 Five Mile Rd
Plymouth, MI 48170-2418

Phone

(734) 489-6254

Fax

(734) 418-7356

NPI assigned

May 17, 2016

Last updated

Dec 20, 2021By 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 M Nikkila Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michigan Health & Rehabilitation Services, LLC

  dba Rivetus Rehabilitation

  • Geriatric Physical Therapist
  • Southfield, MI
  • NPI 1033719331
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1467809764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055221",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47635 FIVE MILE RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702418",
            "telephone_number": "734-489-6254",
            "fax_number": "734-418-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIE",
        "first_name": "KELSEY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "NIKKILA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Jo Klingensmith, PH.D.
• Cara Klonowski
• Bradley Klumpp
• Brianna Paige Klunder
• Knab Pharmacy Inc (wiltse's community pharmacy)
• Juliann Knochel
• Donald Koch
• Kelsey Kocherla
• Aleksandra Kocz, PA-C
• Jennifer Ann Kodrik

• Physical Therapist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.