KYLE KELLEY – Physical Therapist, NPI 1164960993

KYLE KELLEY is a healthcare provider. based in Newburgh, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 05012210A (IN). The NPI Number for KYLE KELLEY is 1164960993

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KYLE KELLEY
NPI
1164960993
Phone
(812) 499-1572
Address
5144 ARCHES DR
Enumeration Date
31 January 2017
Last Update Date
31 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709268145
Graduation Year
2016 (10 years ago)
PAC ID
2264792324
Group Practice PAC ID
8729379888
Professional Enrollment ID
I20200106000665
Address ID
IN476202061MO526XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for KYLE KELLEY

  • 5144 ARCHES DR

    NEWBURGH, IN 476302081

    Phone: (812) 499-1572

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180607000251IPhysical Therapist In Private PracticeILTBD
I20200106000665IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities2,015151$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,712164$0
97140Therapy procedure using manual technique, each 15 minutes1,004119$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79192$0
97163Evaluation for physical therapy, typically 45 minutes6157$0
View full utilization report →

Insurance plans in this area (ZIP 47630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729379888View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
-KY
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeNH
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I verify KYLE KELLEY with an NPI only?
You can start verification with NPI 1164960993 for KYLE KELLEY, then check state licensing separately.
Can I rely on KYLE KELLEY being an active provider?
As of the registry snapshot, KYLE KELLEY is marked active.
What is KYLE KELLEY best known for clinically?
Directory data describes KYLE KELLEY with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does KYLE KELLEY list a practice location?
Patients near Newburgh, Indiana may find KYLE KELLEY in results; validate coverage separately.
Why does KYLE KELLEY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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