Maria Kelly, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10412 N Baehr Rd
Mequon, WI 53092-4472

Phone

(262) 236-0176

Fax

(262) 236-0178

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Wisconsin School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fresh Start Physical Therapy LLCGroup PAC ID 9032530050, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fresh Start Physical Therapy LLC

  • Physical Therapist
  • Mequon, WI
  • NPI 1447888136
  Medicare reassignment Care Compare group NPD
• Fresh Start Physical Therapy LLC

  • Physical Therapist
  • Mequon, WI
  • NPI 1588610562
  Medicare reassignment NPD
• Freedom Physical Therapy Services SC

  • Physical Therapist
  • Fox Point, WI
  • NPI 1063406544
  NPD (past)
• PT Plus Management Corp

  • Physical Therapist
  • Mt Pleasant, WI
  • NPI 1477798338
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1609899103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 N BAEHR RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924472",
            "telephone_number": "262-236-0176",
            "fax_number": "262-236-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36119100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kazco Inc
• Christopher Kearns, MD
• Heidi N. Keller, PA-C
• Kelly Duggan Consultation Services, LLC
• Bailey Kelly, LAT
• Michael E Kemp, CSAC, NCAC I
• Christina C Keppel, MD
• Lori L. Kessenich, P.T.
• Karen Marie Kestel, PHYSICAL THERAPIST
• Amy K Kestner, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.