Kellen Witty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17815-24 Issued in WI

Practice address

11404 W Calumet Rd
Milwaukee, WI 53224-3123

Phone

(414) 587-1803

NPI assigned

Jul 12, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1134808652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11404 W CALUMET RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243123",
            "telephone_number": "414-587-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 W CALUMET RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532243123",
            "telephone_number": "414-587-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTY",
        "first_name": "KELLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17815-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal A Wittrock, APNP
• Nicholas Wittry, M.D.
• Ann Elizabeth Wittwer, NP
• Scott F Wittwer, PT
• Timothy Jon Wittwer, RN, MSN, FNP
• Anna Wiza, PA-C
• Nicholas Wleklinski
• Katarzyna Wlodarczyk, M.D.
• John C Wlodarski, M.D.
• Noah Wlodarski, AA

• Physical Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.