Kelly Jean Desselle, PT, DPT, ATC
NPI 1366285116ActiveIndividual· Physical Therapist· Grain Valley, MO
Physical Therapist (PT, DPT, ATC) with Upward Physical Therapy LLC, practicing in Grain Valley, Missouri. Medicare paid $26,735 for services to 44 patients in 2024.
Overview
| NPI | 1366285116 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC |
| Sole proprietor | No |
| NPI issued | Jun 18, 2024 |
| Last updated in NPPES | May 5, 2026 |
| Certified by provider | May 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2025021797 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 1,320 across 5 procedure codes |
| Paid by Medicare | $26,735 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Upward Physical Therapy LLCGrain Valley, MO · 2 clinicians
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All 20 physical therapists in Grain Valley · All physical therapists in Missouri