Kelly Stoley-Roesner, PT
NPI 1063466969 · Physical Therapist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Stoley-Roesner, PT is a Physical Therapist provider in Grand Rapids, MI (NPI 1063466969).
Provider details
- NPI number
- 1063466969
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 5501004056 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Frequently asked questions
- What is Kelly Stoley-Roesner's NPI number?
- Kelly Stoley-Roesner's National Provider Identifier (NPI) is 1063466969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Stoley-Roesner's specialty?
- Kelly Stoley-Roesner is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Stoley-Roesner located?
- Kelly Stoley-Roesner's practice location on file with NPPES is 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406.
- What is Kelly Stoley-Roesner's phone number?
- The practice phone number listed in the NPPES registry for Kelly Stoley-Roesner is (616) 459-7101.
- Does Kelly Stoley-Roesner accept Medicare?
- Kelly Stoley-Roesner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Stoley-Roesner's NPI active?
- Yes — Kelly Stoley-Roesner's NPI (1063466969) is active in the NPPES registry as of the last update on 2024-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.