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KELLY GOTBERG PT, DPT
NPI 1265916852
Physical Therapist - Orthopedic in Holland, MI

Active since September 19, 2018
854 WASHINGTON AVE STE 200, HOLLAND, MI 49423(616) 392-9430 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Gotberg Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY GOTBERG PT, DPT (NPI 1265916852) is an individual orthopedic provider in Holland, Michigan, licensed in Michigan (5501018868) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1265916852
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKELLY GOTBERGCredential: PT, DPT
Location Address854 WASHINGTON AVE STE 200Holland, MI 49423-7143
Mailing Address5380 Lake Michigan DrAllendale, MI 49401-9484
Phone(616) 392-9430
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
✔ NPI 1265916852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MI · 5501018868
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
854 WASHINGTON AVE STE 200, Holland, MI 49423
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Other Names 1

Former Name (1)Kelly Nemeth

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE VAN OSS PT, DPT
Physical Therapist
854 WASHINGTON AVE STE 200
HOLLAND, MI 49423
Allegan County (616) 392-9430
MS. JAMI TEMPLE ANDERSON PT, DPT, AT, A.T.,C.
Physical Therapist
854 WASHINGTON AVE STE 200
HOLLAND, MI 49423
Allegan County (616) 392-9430
JOSEPH J LIBLONG
Physical Therapist
854 WASHINGTON AVE STE 200
HOLLAND, MI 49423
Allegan County (616) 392-9430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gotberg's NPI number?

The NPI number for Kelly Gotberg is 1265916852. It was assigned to this individual provider in the NPPES registry on September 19, 2018. The provider is also known as Kelly Nemeth.

Where is Kelly Gotberg located?

Kelly Gotberg practices at 854 Washington Ave Ste 200, Holland, MI 49423. The listed phone number is (616) 392-9430.

What is Kelly Gotberg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Kelly Gotberg was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.