KELLY D KOVACIC (PT) – Physical Therapist, NPI 1215918909

KELLY D KOVACIC (PT) is a healthcare provider. based in Austintown, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 09059 (OH). The NPI Number for KELLY D KOVACIC (PT) is 1215918909

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KELLY D KOVACIC (PT)
NPI
1215918909
Phone
(330) 953-0129
Address
1397 S CANFIELD NILES RD
Enumeration Date
9 November 2005
Last Update Date
7 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308727242
Graduation Year
2000 (26 years ago)
PAC ID
5890741557
Group Practice PAC ID
1850290644
Professional Enrollment ID
I20050324001149
Address ID
OH444250000NE17XXXRDXX401

Contacts

Main Contact
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for KELLY D KOVACIC (PT)

  • 1397, South Canfield Niles Road, Austintown, Mahoning County, Ohio, 44515, United States

    UNIT 1

    AUSTINTOWN, OH 445154084

    Phone: (330) 953-0129

    Fax: (330) 953-0650

    Type: Mailing

  • 1397 S Canfield Niles Rd

    Unit 1

    Austintown, OH 445154084

    Phone: (330) 953-0129

    Fax: (330) 953-0650

    Type: Location

  • 7645 Market St Ste 110

    Youngstown, OH 445126098

    Phone: (330) 965-9330

    Type: Location

  • 4451 Mahoning Ave NW Ste A

    Warren, OH 444831977

    Phone: (330) 372-0207

    Type: Location

  • 2860 Canfield Rd

    Youngstown, OH 445112803

    Phone: (330) 799-6298

    Type: Location

  • 225 E State Route 14 Ste B001

    Columbiana, OH 444088490

    Phone: (330) 482-3680

    Type: Location

  • PO BOX 392573

    PITTSBURGH, PA 152514084

    Phone: (724) 343-4060

    Type: Mailing

  • 17 E RIVER ST STE A

    NEWTON FALLS, OH 444441372

    Phone: (330) 872-7242

    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: 2005-03-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050324001149IPhysical Therapist In Private PracticeOHTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,57689$0
97140Therapy procedure using manual technique, each 15 minutes84478$0
97530Therapy procedure using functional activities64164$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes57355$0
97150Therapy procedure in a group setting38869$0
View full utilization report →

Insurance plans in this area (ZIP 44515)

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Provider's Procedures

KELLY D KOVACIC (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOH97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes2647128

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: 1850290644View full group profile
NameSpecialtyState
-OH
Qualified Speech Language PathologistOH
Physical Therapist In Private PracticeOH
-OH
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeOH
-OH
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

Can I verify KELLY D KOVACIC (PT) with an NPI only?
You can start verification with NPI 1215918909 for KELLY D KOVACIC (PT), then check state licensing separately.
Can I rely on KELLY D KOVACIC (PT) being an active provider?
As of the registry snapshot, KELLY D KOVACIC (PT) is marked active.
What taxonomy line describes KELLY D KOVACIC (PT)?
For research purposes, treat KELLY D KOVACIC (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY D KOVACIC (PT)?
KELLY D KOVACIC (PT)'s geographic hint is Austintown, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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