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

Kelly O'Rourke

Individual provider Physical Therapist · NPI 1629481635

Kelly O'Rourke is a Physical Therapist in Private Practice in Saint Johns, Michigan. Qualified in 2014, 12 years ago. Practices with Michigan Orthopedic Center P C, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

1507 Waterford Pkwy
Saint Johns, MI 48879
Phone: (989) 227-5404
Fax: (989) 227-5415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 416 S Creyts Rd, Lansing, MI 48917-8290 — (517) 327-0966
  • 1240 E Grand River Ave, Portland, MI 48875-1672 — (517) 743-6122

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501016792 (MI)

Record details

NPI number1629481635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESSeptember 17, 2019
Mailing address1507 Waterford Pkwy, Saint Johns, MI 48879-9630

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Michigan Orthopedic Center P C — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Johns