KELLY ANNE MCCARTHY (DPT) – Physical Therapist, NPI 1376861112

KELLY ANNE MCCARTHY (DPT) is a healthcare provider. based in Lake orion, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501015147 (MI). The NPI Number for KELLY ANNE MCCARTHY (DPT) is 1376861112

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ANNE MCCARTHY (DPT)
NPI
1376861112
Phone
(248) 736-5837
Address
2699 DANSBURY CT
Enumeration Date
4 May 2010
Last Update Date
18 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102121277
Graduation Year
2009 (17 years ago)
PAC ID
2264848233
Group Practice PAC ID
5395004451
Professional Enrollment ID
I20210317001764
Address ID
MI484558998ME3562XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KELLY ANNE MCCARTHY (DPT)

  • 2699 DANSBURY CT

    LAKE ORION, MI 483601605

    Phone: (248) 736-5837

    Type: Mailing

  • 10809 S SAGINAW ST

    GRAND BLANC, MI 484397033

    Phone: (810) 695-8700

    Fax: (810) 695-7946

    Type: Location

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: 2021-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210317001764IPhysical Therapist In Private PracticeMITBD

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
97140Therapy procedure using manual technique, each 15 minutes14915$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13719$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10217$0
97530Therapy procedure using functional activities5411$0
View full utilization report →

Insurance plans in this area (ZIP 48360)

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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: 5395004451View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeMI
-IL

Reviews

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Frequently asked questions

What federal number belongs to KELLY ANNE MCCARTHY (DPT)?
The federal identifier for KELLY ANNE MCCARTHY (DPT) is NPI 1376861112.
Is KELLY ANNE MCCARTHY (DPT) currently active in the NPI registry?
CMS-published data lists KELLY ANNE MCCARTHY (DPT) as an active registrant.
What field does KELLY ANNE MCCARTHY (DPT) work in?
You can think of KELLY ANNE MCCARTHY (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does KELLY ANNE MCCARTHY (DPT) practice in Michigan?
You will see Lake Orion, Michigan on file for KELLY ANNE MCCARTHY (DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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