Mallory A. Kelly, PT, DPT
Physical Therapist · Twin Lakes, WI
Mallory A. Kelly, PT, DPT is a physical therapist with a practice address in Twin Lakes, Wisconsin, and NPI 1104340769, issued on Jul 26, 2017. Check the license with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mallory A. Kelly
- Credential
- PT, DPT
- Primary taxonomy
- Physical Therapist 225100000X
- Practice location
- 700 N Lake Ave, Twin Lakes, WI 53181
- Phone
- (262) 877-2124
- Enumerated
- Jul 26, 2017
- Record last updated
- Oct 3, 2025
- Medicaid ID
- 100093769 WI
- Medicare enrollment
- Enrolled (PECOS I20211122000931); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 700 N Lake Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Emily Bartelt, PT, DPTPhysical Therapist1447596507
- Samantha Beck, DPTPhysical Therapist1467059329
- Sara Fisher, PTPhysical Therapist1689359457
- Tina Jesse, PTPhysical Therapist1336343342
- Kathryn KalvestrandPhysical Therapist1679288765
- Christopher Raasch, NPNurse Practitioner1578921532
Verify Mallory A. Kelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Aurora Medical Group, Inc.Twin Lakes, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
13 physical therapist records list a practice address in Twin Lakes
They are 13 of the 40 NPPES records with a practice address in Twin Lakes, and 6,585 physical therapist records in Wisconsin.
All 13 in Twin Lakes → All 6,585 in Wisconsin → Every provider in Twin Lakes →
Other physical therapist records in Wisconsin
- Jared Aarsvold, PT, DPTAltoona, WI1356208060
- Delia Abano, PTRhinelander, WI1780028852
- Mikayla Abbeduto, DPTWaukesha, WI1316513955
- Michelle Abbott, PT, DPTHudson, WI1508725698
- Nicole Abdo, DPTGreen Bay, WI1225315096
- Heather AbelsElkhorn, WI1760598064
- Kelsey Abendroth, PTNew London, WI1548783228
- Paul Abler, P.T.Hartland, WI1235281254
- Nada Abouelnaga, DPTAmery, WI1902632045
- Anne Abraham, PTMadison, WI1205903523
Common questions
What is Mallory A. Kelly, PT, DPT's NPI number?
Mallory A. Kelly, PT, DPT's National Provider Identifier (NPI) is 1104340769, issued on Jul 26, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Mallory A. Kelly, PT, DPT located?
The NPPES record lists a practice address at 700 N Lake Ave, Twin Lakes, WI, 53181. Phone: (262) 877-2124. Providers update this record themselves, so call before visiting.
How can I verify Mallory A. Kelly, PT, DPT's license?
Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.