Kaley Buerkel, DPT
Individual provider Active NPI Physical Therapist · Fenton, MI
NPI 1700508207 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1700508207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501302026 (MI)
- Practice address
- 400 Rounds Dr
Fenton, MI 48430-1724 - Phone
- (810) 750-1996
- Fax
- (810) 750-6361
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Michigan Medical School, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Michigan LLC
Fox Rehabilitation Services Mi LLC
Practice addresses (Care Compare)
135 S Milford Rd
Milford, MI 48381-2758
Phone (248) 685-7272
5969 N Canton Ctr Rd
Canton, MI 48187-2757
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220919000211 | MI | Practitioner - Physical Therapist in Private Practice | 9335524917 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501302026 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Physical Therapist | Current |
Accepting new patients |
| Fox Rehabilitation Services Mi LLC | Physical Therapist | Current |
Accepting new patients |
Locations
400 Rounds Dr
Fenton, MI 48430
Phone (810) 629-0530
11407 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 242-6588
319 S Bridge St
Linden, MI 48451
Phone (810) 735-0010
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730
1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501302026 | MI | Yes |
Addresses
Primary practice location
400 Rounds Dr
Fenton, MI 48430-1724
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Other providers in Fenton, MI
- Anna Brewer
- Brian E. Stone, P.C.
- Carol Jeanne Briggs
- Sarah Marie Brubaker
- Jennifer Bryant
- Ashley Buza
- Brianna Rae Byrd
- Cafe of Life Fenton, LLC
- Lyndsay Caldwell
- Paul Douglas Callan
All providers in Fenton, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.