Jesse Kroll
NPI 1891313672ActiveIndividual· Physical Therapist· Clare, MI
Physical Therapist in Clare, Michigan, trained at University of Wisconsin School of Medicine (class of 2020). Medicare paid $11,779 for services to 19 patients in 2024.
Overview
| NPI | 1891313672 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 8, 2020 |
| Last updated in NPPES | Jul 8, 2020 |
| Certified by provider | Jul 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501019617 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 626 across 7 procedure codes |
| Paid by Medicare | $11,779 |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sport Summit Physical Therapy LLCClare, MI · 5 clinicians
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All 17 physical therapists in Clare · All physical therapists in Michigan