Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Sue Stoley-Roesner, PT

Individual provider Physical Therapist · NPI 1063466969

Kelly Sue Stoley-Roesner, PT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Graduated from University of Michigan Medical School in 1989, 37 years ago. Practices with Orthopaedic Associates of Grand Rapids PC, a 86-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
37
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone: (616) 459-7101
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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 5501004056 (MI)

Record details

NPI number1063466969
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Group practice Orthopaedic Associates Of Grand Rapids Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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