ANDREW D KELLY (PT) – Physical Therapist, NPI 1508025347
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,990 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI
Provider Addresses for ANDREW D KELLY (PT)
8201 MISH KO SWEN DR
CRANDON, WI 545208631
Phone: (715) 478-4300
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.
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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: 2013-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1011 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20130807000181 | I | Physical Therapist In Private Practice | WI | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 477 | 35 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 260 | 25 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 37 | 30 | $0 |
Insurance plans in this area (ZIP 54520)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | MI | |
| O P T O M E T R Y | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| O P T O M E T R Y | NM | |
| Nurse Practitioner | WI | |
| Clinical Psychologist | WI |
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