Active NPI
Kelsey Reeser, D.C.
- Chiropractor
- Grants Pass, OR
National Provider Identifier
1760412670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3563
- Practice address
- 745 NE 7TH St
Grants Pass, OR 97526-1632 - Phone
- (541) 472-0500
- Fax
- (541) 471-6285
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3563 | OR | Primary |
Addresses
Primary practice location
745 NE 7TH St
Grants Pass, OR 97526-1632
Mailing address
745 NE 7TH St
Grants Pass, OR 97526-1632
Phone (541) 472-0500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880 531 000 | Other | OR | REGENCE PROVIDER NUMBER |
| 3094394 | Other | OR | PACIFIC SOURCE PROVIDER NUMBER |
| R134195 | Other | OR | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
745 NE 7TH St
Grants Pass, OR 97526-1632
Phone (541) 472-0500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3563 | OR | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Physical Therapy LLC | Current | Accepting new patients | |
| Cascade Chiropractic of Southern Oregon, LLC | Chiropractor | Current | Accepting new patients |
| Northwest Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
745 NE 7th St
Grants Pass, OR 97526
Phone (541) 472-0500
Organizations & group practices 3
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.
-
- Chiropractor
- Grants Pass, OR
- NPI 1396137295
-
- Physical Therapist
- Grants Pass, OR
- NPI 1376343111
-
- Chiropractor
- Grants Pass, OR
- NPI 1558410027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1760412670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 NE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261632",
"telephone_number": "541-472-0500",
"fax_number": "541-471-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 NE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261632",
"telephone_number": "541-472-0500",
"fax_number": "541-471-6285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESER",
"first_name": "KELSEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE PROVIDER NUMBER",
"identifier": "880 531 000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE PROVIDER NUMBER",
"identifier": "3094394",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "R134195",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.