CAITLIN MARIE KELLEY (PT, DPT) – Physical Therapist, NPI 1467005637

CAITLIN MARIE KELLEY (PT, DPT) is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for CAITLIN MARIE KELLEY (PT, DPT) is 1467005637

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN MARIE KELLEY (PT, DPT)
NPI
1467005637
Phone
(817) 923-9000
Address
4750 BRYANT IRVIN RD N
Enumeration Date
17 July 2019
Last Update Date
17 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174831746
Graduation Year
2019 (7 years ago)
PAC ID
5496131476
Group Practice PAC ID
4981884905
Professional Enrollment ID
I20220928001438
Address ID
TX760171042AR6033X20XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for CAITLIN MARIE KELLEY (PT, DPT)

  • 4750, Bryant Irvin Road, Fort Worth, Tarrant County, Texas, 76107, United States

    FORT WORTH, TX 761077641

    Phone: (817) 923-9000

    Fax: (817) 923-9033

    Type: Location

  • Box Car Lane, Gravel Place, Arlington Heights, Stroud Township, Monroe County, Pennsylvania, 18301, United States

    ARLINGTON, TX 760156862

    Phone:

    Type: Mailing

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: 2022-09-28

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
I20220928001438IPhysical Therapist In Private PracticeTXTBD

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 minutes51846$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes37949$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes32444$0
97150Therapy procedure in a group setting19840$0
97162Evaluation for physical therapy, typically 30 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 76107)

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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: 4981884905View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for CAITLIN MARIE KELLEY (PT, DPT)?
CAITLIN MARIE KELLEY (PT, DPT) — NPI 1467005637 — is the standard way to identify this listing.
Can I rely on CAITLIN MARIE KELLEY (PT, DPT) being an active provider?
As of the registry snapshot, CAITLIN MARIE KELLEY (PT, DPT) is marked active.
What taxonomy line describes CAITLIN MARIE KELLEY (PT, DPT)?
For research purposes, treat CAITLIN MARIE KELLEY (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is CAITLIN MARIE KELLEY (PT, DPT) based?
CAITLIN MARIE KELLEY (PT, DPT) is tied to Fort Worth, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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