Individual provider Active NPI

Kelsey Marie McNutt

  • Physical Therapist
  • Keego Harbor, MI
National Provider Identifier
1528415726
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2700 Orchard Lake Rd
Keego Harbor, MI 48320-1445
Phone
(248) 683-0185
Fax
(248) 683-5692
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 MI Primary

Addresses

Primary practice location

2700 Orchard Lake Rd
Keego Harbor, MI 48320-1445

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (248) 683-0185

Other names 1

  • Kelsey Hill Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000647 MI Practitioner - Physical Therapist in Private Practice 6406146679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2700 Orchard Lake Rd
Keego Harbor, MI 48320-1445
Phone (248) 683-0185

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince May 10, 2016 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince May 10, 2016 Accepting new patients
Dwight Orthopedic Rehabilitation Co Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10415 Grand River Rd
Ste 300
Brighton, MI 48116
Phone (810) 229-6140

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

9604 Chilson Cmns
Pinckney, MI 48169

22450 Pontiac Trl
South Lyon, MI 48178
Phone (248) 486-1110

25700 Pontiac Trl
South Lyon, MI 48178
Phone (248) 366-0403

2215 18 Mile Rd
Sterling Heights, MI 48314
Phone (586) 930-0668

1350 Kirts Blvd
Ste 120
Troy, MI 48084
Phone (248) 244-7927

8381 E 12 Mile Rd
Warren, MI 48093
Phone (586) 698-1999

5159 Highland Rd
Ste 100
Waterford, MI 48327

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1528415726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "248-683-0185",
            "fax_number": "248-683-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201445",
            "telephone_number": "248-683-0185",
            "fax_number": "248-683-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HILL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keego Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.