Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse Kroll

Individual provider Physical Therapist · NPI 1891313672

Jesse Kroll is a Physical Therapist in Private Practice in Clare, Michigan. Graduated from University of Wisconsin School of Medicine in 2020, 6 years ago. Practices with Sport Summit Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
University of Wisconsin School of Medicine
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

1513 N McEwan St
Clare, MI 48617-1162
Phone: (989) 424-6088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019617 (MI)

Record details

NPI number1891313672
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing address1513 N McEwan St, Clare, MI 48617-1162

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Sport Summit Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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