Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jesse Kroll

Individual provider Physical Therapist · NPI 1891313672

Jesse Kroll is registered under 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 626 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Sport Summit Physical Therapy LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Clare