Individual provider Active NPI

Mark D Beissel, PT

  • Orthopedic Physical Therapist
  • Chelsea, MI
National Provider Identifier
1669593950
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501001055 Issued in MI
Practice address
475 Chantilly LN
Chelsea, MI 48118-2133
Phone
(734) 276-8221
NPI assigned
Apr 3, 2007
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501001055 MI Primary

Addresses

Primary practice location

475 Chantilly LN
Chelsea, MI 48118-2133

Mailing address

17675 Heim Rd
Chelsea, MI 48118-9307

Other identifiers 1

IdentifierTypeStateIssuer
5501001055OtherMIPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000285 MI Practitioner - Physical Therapist in Private Practice 8123197449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 Chantilly LN
Chelsea, MI 48118-2133
Phone (734) 276-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501001055MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D Beissel DPT PLLC Orthopedic CurrentSince Dec 1, 2025 Accepting new patients
Orthopaedic Therapy, Inc. PastSince Jan 23, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.beissel.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 2

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1669593950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17675 HEIM RD",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CHANTILLY LN",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182133",
            "telephone_number": "734-276-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEISSEL",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501001055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "5501001055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.