Kelly Jean Desselle, PT, DPT, ATC - Medicare Physical Therapist in Grain Valley, MO

Kelly Jean Desselle, PT, DPT, ATC is a medicare enrolled "Physical Therapist" provider in Grain Valley, Missouri. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Upward Physical Therapy Llc and her current practice location is 1207 Nw Pamela Blvd, Grain Valley, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 867-6022.

Kelly Jean Desselle is licensed to practice in Missouri (license number 2025021797) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366285116.

Contact Information

Kelly Jean Desselle, PT, DPT, ATC
1207 Nw Pamela Blvd,
Grain Valley, MO 64029-7844
(816) 867-6022
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Jean Desselle
GenderFemale
SpecialityPhysical Therapist In Private Practice
Experience2 Years
Location1207 Nw Pamela Blvd, Grain Valley, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Jean Desselle graduated from medical school in 2024
  NPI Data:
  • NPI Number: 1366285116
  • Provider Enumeration Date: 06/18/2024
  • Last Update Date: 05/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3274077326
  • Enrollment ID: I20251212002428

Medical Identifiers

Medical identifiers for Kelly Jean Desselle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366285116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2025021797 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upward Physical Therapy Llc02447616662

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Jean Desselle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Jean Desselle, PT, DPT, ATC
1207 Nw Pamela Blvd,
Grain Valley, MO 64029-7844

Ph: (816) 867-6022
Kelly Jean Desselle, PT, DPT, ATC
1207 Nw Pamela Blvd,
Grain Valley, MO 64029-7844

Ph: (816) 867-6022

Reviews and Comments


Physical Therapist in Grain Valley, MO

Stacee Newsom, P.T.
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Medicare: Not Enrolled in Medicare
Practice Location: 640 Nw Jefferson St, Grain Valley, MO 64029
Phone: 816-726-7337    Fax: 816-847-0218
Littlefoot Pediatric Therapy Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 902 Nw Persimmon Ct, Grain Valley, MO 64029
Phone: 417-926-2538    
Troy H Brown, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 638 Nw Jefferson St, Grain Valley, MO 64029
Phone: 816-836-0800    Fax: 816-836-3229
Connor Jonas,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1207 Nw Pamela Blvd, Grain Valley, MO 64029
Phone: 816-867-6022    
Alexa Gabrielle Hernandez,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029
Phone: 816-265-1170    
Claire Sybesma,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029
Phone: 816-265-1170    
Kayla Kocimski,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029
Phone: 816-265-1170    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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