TIFFANY L KELLETT (DPT) – Physical Therapist, NPI 1114290723
Physical Therapist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIFFANY L KELLETT (DPT)
8073 WASHINGTON VILLAGE DRIVE
SUITE 110
DAYTON, OH 454581847
Phone: (937) 813-8052
Fax: (937) 813-8056
Type: Mailing
8094 E MARKET ST
WARREN, OH 444842258
Phone: (330) 729-9448
Fax: (330) 729-9450
Type: Location
60 S MAIN ST
POLAND, OH 445141914
Phone: (330) 259-8006
Type: Mailing
4451 MAHONING AVE NW STE A
WARREN, OH 444831977
Phone: (330) 372-0207
Fax: (330) 372-0206
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: 2012-02-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120224000483 | I | Physical Therapist In Private Practice | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 539 | 57 | $0 |
| 97530 | Therapy procedure using functional activities | 534 | 52 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 313 | 53 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 311 | 53 | $0 |
| 97750 | Test or measurement for functional capacity, each 15 minutes | 74 | 29 | $0 |
Insurance plans in this area (ZIP 45458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | OH | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 78 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | OH | |
| - | AL | |
| Physical Therapist In Private Practice | OH | |
| - | OH | |
| - | AL | |
| Physical Therapist In Private Practice | OH | |
| - | AL | |
| - | NC | |
| - | AL |
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