MARIA KELLY (PT) – Physical Therapist, NPI 1609899103

MARIA KELLY (PT) is a healthcare provider. based in Mequon, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for MARIA KELLY (PT) is 1609899103

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MARIA KELLY (PT)
NPI
1609899103
Phone
(262) 236-0176
Address
11122B N CEDARBURG RD
Enumeration Date
25 July 2006
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2622360176
Graduation Year
2000 (26 years ago)
PAC ID
3779596382
Group Practice PAC ID
9032530050
Professional Enrollment ID
I20060727000323
Address ID
WI530924472ME10412RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for MARIA KELLY (PT)

  • 11122B N CEDARBURG RD

    MEQUON, WI 530924357

    Phone: (262) 236-0176

    Fax: (262) 236-0178

    Type: Mailing

  • 10412 N BAEHR RD

    MEQUON, WI 530924472

    Phone: (262) 236-0176

    Fax: (262) 236-0178

    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: 2006-07-27

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
I20060727000323IPhysical Therapist In Private PracticeWITBD

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
97530Therapy procedure using functional activities53421$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42921$0
97140Therapy procedure using manual technique, each 15 minutes24820$0
97535Training for self-care or home management, each 15 minutes8211$0
98980Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month4613$0
View full utilization report →

Insurance plans in this area (ZIP 53092)

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Provider's Procedures

MARIA KELLY (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 THERAPYWI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes15522

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: 9032530050View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
-WI
-WI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

What NPI should I save for MARIA KELLY (PT)?
Save NPI 1609899103 if you need a stable reference for MARIA KELLY (PT).
Is MARIA KELLY (PT) active in the national directory?
MARIA KELLY (PT)'s public NPI profile is in an active state.
What kind of provider is MARIA KELLY (PT)?
The page reflects Physical Therapist for MARIA KELLY (PT). Clinical services aligned with this taxonomy classification.
Where is MARIA KELLY (PT)'s primary listing?
We display Mequon, Wisconsin because that is what the record indicates for MARIA KELLY (PT).
How can I contact MARIA KELLY (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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