Ian Christopher Kelley
NPI 1821701194ActiveIndividual· Physical Therapist· Vicksburg, MI
Physical Therapist in Vicksburg, Michigan, licensed in MI, with an NPI issued in January 2023. Medicare paid $23,537 for services to 47 patients in 2024.
Overview
| NPI | 1821701194 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 3, 2023 |
| Last updated in NPPES | Jan 3, 2023 |
| Certified by provider | Jan 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501302420 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 1,151 across 12 procedure codes |
| Paid by Medicare | $23,537 |
Other Physical Therapist providers in Vicksburg
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