Kelly Keis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14569-24 Issued in WI

Practice address

1600 Maxwell Dr Ste 7
Hudson, WI 54016-8759

Phone

(844) 328-5866

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daulton Physical Therapy LLCGroup PAC ID 0345469284, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Daulton Physical Therapy, LLC

  • Physical Therapist
  • Hudson, WI
  • NPI 1760806095
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1891415733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 TWIN CIRCLE DR",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551184144",
            "telephone_number": "651-442-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MAXWELL DR STE 7",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168759",
            "telephone_number": "844-328-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIS",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4565",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14569-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Karlsson
• Martu Lynn Karmarah
• Annmarie Karr, COTA
• Nicole Kauffmann
• Jennifer Ann Kehrberg, PTA
• David Michael Kell, DDS
• Stephen Edward Kessler, PTA
• Fariba Kianmajd
• Megan Marie Kinder, DDS
• Kinderman Family Chiropractic Incorporated

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.