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

Individual provider Physical Therapist · NPI 1356990485

Kelly Lauren Cvetkovski is a Physical Therapist in Private Practice in Dearborn, Michigan. Qualified in 2019, 7 years ago. Practices with Behavioral Outcomes Management, LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406
Phone: (734) 407-2500
Fax: (313) 792-8962
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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 5501019349 (MI)

Record details

NPI number1356990485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESSeptember 11, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Behavioral Outcomes Management,Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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