Individual provider Active NPI

Kelsey Andringa, DPT

  • Physical Therapist
  • Byron Center, MI
National Provider Identifier
1639654486
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018872 Issued in MI
Practice address
2185 84TH St SW
Suite H
Byron Center, MI 49315-8020
Phone
(616) 249-2924
NPI assigned
Sep 27, 2018
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 5501018872 MI Primary

Addresses

Primary practice location

2185 84TH St SW
Suite H
Byron Center, MI 49315-8020

Mailing address

PO Box 30516
Dept 5300
Lansing, MI 48909-8016
Phone (914) 294-4050

Other practice location 1

27652 Franklin Rd
Southfield, MI 48034-8200
Phone (248) 359-8700

Other practice location 2

308 S Main
Cedar Springs, MI 49319-8925
Phone (616) 696-6555

Other names 1

  • Kelsey Mager Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181102001572 MI Practitioner - Physical Therapist in Private Practice 8527311885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hulst Jepsen Physical Therapy IncGroup PAC ID 8325033285, 132 clinicians

Practice addresses (Care Compare)

2120 43Rd St SE
Suite 100
Grand Rapids, MI 49508-3712
Phone (616) 281-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hulst Jepsen Physical Therapy Inc Physical Therapist CurrentSince May 20, 2021 Accepting new patients

Locations

2185 84th St SW
Ste H
Byron Center, MI 49315
Phone (616) 249-2924

2120 43rd St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 281-1144

Organizations & group practices 1

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1639654486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 5300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "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": "2185 84TH ST SW",
            "address_2": "SUITE H",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158020",
            "telephone_number": "616-249-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27652 Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480348200",
            "country_code": "US",
            "telephone_number": "248-359-8700",
            "fax_number": "248-359-8703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 S Main",
            "address_purpose": "LOCATION",
            "city": "Cedar Springs",
            "state": "MI",
            "postal_code": "493198925",
            "country_code": "US",
            "telephone_number": "616-696-6555",
            "fax_number": "616-965-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRINGA",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MAGER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.