Individual provider Active NPI

Kelsey Granley, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1851760375
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2545 Issued in AK
Practice address
701 Sesame St Ste 101
Anchorage, AK 99503-6647
Phone
(907) 561-0448
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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 2545 AK Primary

Addresses

Primary practice location

701 Sesame St Ste 101
Anchorage, AK 99503-6647

Mailing address

32713 Terrace Lake Rd
Ronan, MT 59864-9889
Phone (406) 261-2312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151030002277 AK Practitioner - Physical Therapist in Private Practice 1153631338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physical Therapy IncGroup PAC ID 1355231853, 34 clinicians

Practice addresses (Care Compare)

12570 Old Seward Hwy
Suite 202
Anchorage, AK 99515-3532
Phone (907) 222-2886

742 K St
Anchorage, AK 99501-3331
Phone (907) 929-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2545AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Physical Therapy, LLC Physical Therapist CurrentSince Oct 12, 2015 Accepting new patients

Locations

701 Sesame St
Ste 101
Anchorage, AK 99503
Phone (907) 561-0448

742 K St
Anchorage, AK 99501
Phone (907) 929-8400

Organizations & group practices 1

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1851760375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32713 TERRACE LAKE RD",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598649889",
            "telephone_number": "406-261-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SESAME ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036647",
            "telephone_number": "907-561-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANLEY",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.