Kelsey Peterson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013406 Issued in MI

Practice address

5460 W Rolling Hills Dr
Bridgeport, MI 48722-9668

Phone

(989) 272-4500

Fax

(989) 272-4501

NPI assigned

Aug 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Bleshenski Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Saginaw Valley Medical College - NLG, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renue 004 Bridgeport LLCGroup PAC ID 4183850266, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renue 004 Bridgeport, LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Bridgeport, MI
  • NPI 1952740466

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Renue 001 Freeland LLC

  dba Renue Physical Therapy

  • Physical Therapy Clinic/Center
  • Freeland, MI
  • NPI 1922385707

  Occupational Therapist

  Medicare reassignment NPD
• Renue 002 Bay City LLC

  • Physical Therapy Clinic/Center
  • Bay City, MI
  • NPI 1922379320

  Occupational Therapist

  Medicare reassignment NPD
• Renue 006 Saginaw State St LLC

  • Physical Therapist
  • Saginaw, MI
  • NPI 1871835405

  Occupational Therapist

  Medicare reassignment NPD
• Renue 009 Midland LLC

  dba Renue Physical Therapy

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1174963961

  Occupational Therapist

  Medicare reassignment NPD
• Renue 018 Tawas, LLC

  • Physical Therapy Clinic/Center
  • Tawas City, MI
  • NPI 1790452043

  Occupational Therapist

  Medicare reassignment NPD
• Renue 003 Saginaw LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Saginaw, MI
  • NPI 1578845285
  Medicare reassignment
• Renue 012 Essexville, LLC

  dba Renue Physical Therapy

  • Physical Therapist
  • Bay City, MI
  • NPI 1548740871
  Medicare reassignment

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1730604802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41521 W 11 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 W ROLLING HILLS DR",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229668",
            "telephone_number": "989-272-4500",
            "fax_number": "989-272-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 N Water St",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487085620",
            "country_code": "US",
            "telephone_number": "989-450-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013406",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BLESHENSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lakisha Shantaye Parks, LPN
• Hemang Vinodchandra Patel
• Joan Renee Patten, BSW
• Sara Jean Peeples, BA
• Kimberly Peters
• Emilio Philpotts
• Henryk Czeslaw Pietrus, M.D.
• Eleezia Darlene Piirala
• Sawyer Plume, BA
• Victoria Poletti

• Occupational Therapist in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.