Individual provider Active NPI

Kristin Leigh Kepsel, DPT

  • Physical Therapist
  • Northville, MI
National Provider Identifier
1538329032
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013727 Issued in MI
Practice address
17783 Haggerty Rd
Northville, MI 48168-9802
Phone
(248) 773-3680
NPI assigned
Jun 10, 2008
Last updated
Nov 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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 5501013727 MI Primary

Addresses

Primary practice location

17783 Haggerty Rd
Northville, MI 48168-9802

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000395 MI Practitioner - Physical Therapist in Private Practice 5294894143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ethos Physical Therapy LLCGroup PAC ID 6507235298, 7 clinicians

Practice addresses (Care Compare)

515 N Mill St
South Lyon, MI 48178-1291
Phone (734) 463-3007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Aug 19, 2020 Accepting new patients
Ethos Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Oct 1, 2012 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Oct 1, 2012 Accepting new patients
Probility Therapy Services Physical Therapist PastSince Dec 9, 2004 Accepting new patients
Probility Therapy Services 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

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

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

17783 Haggerty Rd
Northville, MI 48168
Phone (248) 675-1875

44191 Plymouth Oaks Blvd
Ste 800
Plymouth, MI 48170
Phone (734) 259-7102

47635 Five Mile Rd
Plymouth, MI 48170
Phone (734) 489-6254

515 N Mill St
South Lyon, MI 48178
Phone (734) 463-3007

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1538329032",
    "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": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17783 HAGGERTY RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689802",
            "telephone_number": "248-773-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPSEL",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.