Kelly Jean Desselle, PT, DPT, ATC
Physical Therapist · Grain Valley, MO
Kelly Jean Desselle, PT, DPT, ATC is a physical therapist with a practice address in Grain Valley, Missouri, and NPI 1366285116, issued on Jun 18, 2024. Check the license (Missouri 2025021797, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Jean Desselle
- Credential
- PT, DPT, ATC
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 2025021797 MO
Self-reported in NPPES; status is on the state search - Practice location
- 1207 NW Pamela Blvd, Grain Valley, MO 64029
- Phone
- (816) 867-6022
- Enumerated
- Jun 18, 2024
- Record last updated
- May 5, 2026
- Medicare enrollment
- Enrolled (PECOS I20251212002428); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 4,540 in Missouri → Look up another NPI →
Also registered at 1207 NW Pamela Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Thomas Hargrave, DPT, ATC, CSCSSports Physical Therapist1467973412
- Connor JonasPhysical Therapist1215891734
Verify Kelly Jean Desselle in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2025021797Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Upward Physical Therapy LLCGrain Valley, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Jean Desselle among 4,540 physical therapist records in Missouri
Kelly Jean Desselle, PT, DPT, ATC is one of 4,540 physical therapist records with a practice address in Missouri. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 87% of them.
- NPI issued2024 · 87% of these records are older, 8% newer
- In a Medicare fileYes · 26% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated2024 · median 2017 among the 1,244 with a school on file
- Record last updated2026 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 physical therapist records list a practice address in Grain Valley
They are 17 of the 181 NPPES records with a practice address in Grain Valley, and 4,540 physical therapist records in Missouri.
All 4,540 in Missouri → Every provider in Grain Valley → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Troy Brown, PTGrain Valley, MO 640291194078980
- Erin GriesbauerGrain Valley, MO 640291982394359
- Aubree Hendershot, DPTGrain Valley, MO 640291821223751
- Alexa HernandezGrain Valley, MO 640291235985466
- Michelle Hudson, P.T.Grain Valley, MO 640291932231610
- Rachel Klamet, PT, DPTGrain Valley, MO 640291912580937
- Trisha Krska, PT, DPTGrain Valley, MO 640291639503402
- Vicki McQuillan, PTGrain Valley, MO 640291811197650
Common questions
What is Kelly Jean Desselle, PT, DPT, ATC's NPI number?
Kelly Jean Desselle, PT, DPT, ATC's National Provider Identifier (NPI) is 1366285116, issued on Jun 18, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Jean Desselle, PT, DPT, ATC located?
The NPPES record lists a practice address at 1207 NW Pamela Blvd, Grain Valley, MO, 64029. Phone: (816) 867-6022. Providers update this record themselves, so call before visiting.
How can I verify Kelly Jean Desselle, PT, DPT, ATC's license?
NPPES lists Missouri license number 2025021797, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.