Individual provider Active NPI

Chelsea Jenelle Kishler, DPT

  • Physical Therapist
  • Harper Woods, MI
National Provider Identifier
1760982201
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017864 Issued in MI
Practice address
19629 Lochmoor St
Harper Woods, MI 48225-1743
Phone
(517) 881-9985
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017864 MI Primary

Addresses

Primary practice location

19629 Lochmoor St
Harper Woods, MI 48225-1743

Mailing address

19629 Lochmoor St
Harper Woods, MI 48225-1743
Phone (517) 881-9985

Other names 1

  • Chelsea Jenelle Garascia Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618000389 MI Practitioner - Physical Therapist in Private Practice 4486076569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

1700 Bronson Way
Kalamazoo, MI 49009-1095
Phone (616) 965-9596

2885 10 Mile Rd NE
Rockford, MI 49341-9100
Phone (616) 326-0010

2920 Crystal LN
Kalamazoo, MI 49009-2108
Phone (269) 238-0647

7005 Pontiac TRL
West Bloomfield, MI 48323-2181
Phone (248) 681-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017864MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 16, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 16, 2025 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Hope Network - Rehabilitation Services PastSince Jun 16, 2020 Accepting new patients

Locations

2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 4

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1760982201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19629 LOCHMOOR ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251743",
            "telephone_number": "517-881-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19629 LOCHMOOR ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251743",
            "telephone_number": "517-881-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHLER",
        "first_name": "CHELSEA",
        "middle_name": "JENELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "GARASCIA",
            "middle_name": "JENELLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.