Individual provider Active NPI

Kelsey Reeser, D.C.

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1760412670
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3563 Issued in OR
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

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
880 531 000OtherORREGENCE PROVIDER NUMBER
3094394OtherORPACIFIC SOURCE PROVIDER NUMBER
R134195OtherORPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000324 OR Practitioner - Chiropractic 5597772863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Cascade Chiropractic of Southern Oregon, LLCGroup PAC ID 2466754098, 2 clinicians

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

LicenseStateTypeSpecialty
3563ORMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Physical Therapy LLC CurrentSince Sep 3, 2025 Accepting new patients
Cascade Chiropractic of Southern Oregon, LLC Chiropractor CurrentSince Jan 1, 2016 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.

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.

Verify at the official NPI Registry.