Individual provider Active NPI

Kelly Albert Reed, MPT

  • Physical Therapist
  • Fraser, MI
National Provider Identifier
1780652024
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010600 Issued in MI
Practice address
33300 Utica Rd
Fraser, MI 48026-2017
Phone
(586) 293-3300
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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 5501010600 MI Primary

Addresses

Primary practice location

33300 Utica Rd
Fraser, MI 48026-2017

Mailing address

32512 Wauketa Dr
Warren, MI 48092
Phone (586) 264-7349

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000885 MI Practitioner - Physical Therapist in Private Practice 3375725021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince Nov 17, 2025 Accepting new patients
Mendelson Orthopedics PC CurrentSince Nov 17, 2025 Accepting new patients
Mendelson Orthopedics PC Current Accepting new patients
Empower Physical Therapy and Fitness PastSince Dec 12, 2011 Accepting new patients
Finch-Waterworks PC Past Accepting new patients
Silberg-Waterworks PC Past Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711

29275 Northwestern Hwy
Ste 207
Southfield, MI 48034
Phone (248) 354-2201

35735 Mound Rd
Ste 101
Sterling Heights, MI 48310
Phone (586) 510-7997

5107 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477

Organizations & group practices 6

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1780652024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32512 WAUKETA DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48092",
            "telephone_number": "586-264-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262017",
            "telephone_number": "586-293-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KELLY",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.