JULIA A KELLOGG (PT, CHT) – Physical Therapist, NPI 1679525570

JULIA A KELLOGG (PT, CHT) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, CHT. They hold a License No. 01829 (MO). The NPI Number for JULIA A KELLOGG (PT, CHT) is 1679525570

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
JULIA A KELLOGG (PT, CHT)
NPI
1679525570
Phone
(616) 356-5000
Address
607 DEWEY AVE NW
Enumeration Date
17 May 2006
Last Update Date
25 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6368873660
Graduation Year
1987 (39 years ago)
PAC ID
9739205741
Group Practice PAC ID
2365342318
Professional Enrollment ID
I20100928000518
Address ID
MO633853499WE1428XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for JULIA A KELLOGG (PT, CHT)

  • 607, Dewey Avenue Northwest, Grand Rapids, Kent County, Michigan, 49504, United States

    STE 300

    GRAND RAPIDS, MI 495047335

    Phone: (616) 356-5000

    Fax: (616) 356-5001

    Type: Mailing

  • 1428, West Meyer Road, Wentzville, Saint Charles County, Missouri, 63385, United States

    WENTZVILLE, MO 633853499

    Phone: (636) 887-3660

    Fax: (636) 887-3661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100928000518IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33836$0
97140Therapy procedure using manual technique, each 15 minutes19425$0
97530Therapy procedure using functional activities5513$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3512$0
View full utilization report →

Insurance plans in this area (ZIP 49504)

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Provider's Procedures

JULIA A KELLOGG (PT, CHT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes45462
PHYSICAL THERAPYMO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes18942

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365342318View full group profile
NameSpecialtyState
-MO
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Is JULIA A KELLOGG (PT, CHT) listed with a National Provider Identifier?
Yes — JULIA A KELLOGG (PT, CHT) has NPI 1679525570 on file in the registry.
Is JULIA A KELLOGG (PT, CHT) shown as active in public data?
Registry records indicate JULIA A KELLOGG (PT, CHT) maintains an active NPI.
What expertise is attributed to JULIA A KELLOGG (PT, CHT)?
JULIA A KELLOGG (PT, CHT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JULIA A KELLOGG (PT, CHT)?
Travel planning: use Grand Rapids, Michigan as the reference point for JULIA A KELLOGG (PT, CHT), then confirm.
When was this NPI issued?
Enumeration for JULIA A KELLOGG (PT, CHT) is noted as May 17, 2006 where the registry provides it.

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