Individual provider Active NPI

Kelly Ann-Trimmer Delind, PT

  • Physical Therapist
  • Grosse Pointe Woods, MI
National Provider Identifier
1669974259
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1844 Kenmore Dr
Grosse Pointe Woods, MI 48236-1982
Phone
(248) 860-1329
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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 Primary

Addresses

Primary practice location

1844 Kenmore Dr
Grosse Pointe Woods, MI 48236-1982

Mailing address

1844 Kenmore Dr
Grosse Pointe Woods, MI 48236-1982
Phone (248) 860-1329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212000367 MI Practitioner - Physical Therapist in Private Practice 4789017328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Form Physical Therapy LLCGroup PAC ID 7517390156, 4 clinicians

Practice addresses (Care Compare)

22340 Harper Ave
Saint Clair Shores, MI 48080-1818
Phone (586) 330-0499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Form Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2018 Accepting new patients

Locations

22340 Harper Ave
Saint Clair Shores, MI 48080
Phone (586) 330-0499

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1669974259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 KENMORE DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361982",
            "telephone_number": "248-860-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 KENMORE DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361982",
            "telephone_number": "248-860-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIND",
        "first_name": "KELLY",
        "middle_name": "ANN-TRIMMER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.