Kelsey Blaire Soldner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302237 Issued in MI

Practice address

2100 Park Rd
Jackson, MI 49203-4938

Phone

(419) 450-9382

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366
  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1760192645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 BEAR CREEK DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609541",
            "telephone_number": "419-450-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PARK RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034938",
            "telephone_number": "419-450-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLDNER",
        "first_name": "KELSEY",
        "middle_name": "BLAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael M Snyder
• Emily Snyr
• Lama Sobh
• Lisa Soderman, RDH
• Radhika Sokhal, AGPCNP-C
• Elaine B Soli, LPN
• Thomas Somi
• Jennifer Song
• Arthur Aaron Sonneborn, DDS, MS
• Emilie Louise Soper

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.