Individual provider Active NPI

Sheylan Kalso, DPT

  • Physical Therapist
  • Southgate, MI
National Provider Identifier
1962905083
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018616 Issued in MI
Practice address
15400 Northline Rd Ste 102
Southgate, MI 48195-2689
Phone
(734) 285-0100
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 5501018616 MI Primary

Addresses

Primary practice location

15400 Northline Rd Ste 102
Southgate, MI 48195-2689

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180417002075 MI Practitioner - Physical Therapist in Private Practice 3577826932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motionworks Physical TherapyGroup PAC ID 8921531484, 2 clinicians
Pace Physical Therapy PCGroup PAC ID 7517284169, 5 clinicians

Practice addresses (Care Compare)

23115 Telegraph Rd
Brownstown Township, MI 48134-9027
Phone (734) 288-7008

8338 Allen Rd
102B
Allen Park, MI 48101-1399
Phone (313) 438-0963

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018616MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Physical Therapy, P.C. Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Motionworks Physical Therapy Physical Therapist CurrentSince Dec 29, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

8338 Allen Rd
Ste 102B
Allen Park, MI 48101
Phone (313) 438-0963

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

23115 Telegraph Rd
Flat Rock, MI 48134
Phone (734) 288-7008

15400 Northline Rd
Southgate, MI 48195
Phone (734) 285-0100

15400 Northline Rd
Ste 102
Southgate, MI 48195
Phone (734) 285-0100

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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1962905083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 NORTHLINE RD STE 102",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952689",
            "telephone_number": "734-285-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSO",
        "first_name": "SHEYLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.