KYLEE CHRISTENA STAKY DPT
NPI 1982286555
Physical Therapist in Grand Rapids, MI

Active since April 23, 2021Accepts Medicare Assignment
100/100
CMS Quality Rating
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546(616) 267-8520 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2022, May 24, 2021, Apr 23, 2021 (3 updates tracked since 2021).

About Kylee Christena Staky Dpt NPPES

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

KYLEE CHRISTENA STAKY DPT (NPI 1982286555) is an individual physical therapist in Grand Rapids, Michigan, licensed in Michigan (5501019721) and active in the NPI registry since April 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1982286555
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKYLEE CHRISTENA STAKYCredential: DPT
Location Address4069 LAKE DR SE STE 118Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2021
Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1982286555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MI · 5501019721
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4069 LAKE DR SE STE 118, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Kylee Christena Panse Dpt

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kylee Christena Staky Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173923448
PECOS Enrollment IDI20210609000882

Medicare Billing Reassignment

Medicare enrollment records show Kylee Staky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
4069 LAKE DR SE, STE. 315
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
137 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Nurse Practitioner
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Nurse Practitioner (Gerontology)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Nurse Practitioner (Women's Health)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546

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 Kylee Staky's NPI number?

The NPI number for Kylee Staky is 1982286555. It was assigned to this individual provider in the NPPES registry on April 23, 2021. The provider is also known as Kylee Christena Panse Dpt.

Where is Kylee Staky located?

Kylee Staky practices at 4069 Lake Dr SE Ste 118, Grand Rapids, MI 49546. The listed phone number is (616) 267-8520.

What is Kylee Staky's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kylee Staky enrolled in Medicare?

Yes. Kylee Staky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kylee Staky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylee Staky reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kylee Staky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylee Staky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kylee Staky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kylee Staky was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.