Kelly Wisdom, PT, DPT
NPI 1033458930ActiveIndividual· Physical Therapist· Tucson, AZ
Physical Therapist (PT, DPT) with Physio Shop Tucson LLC and 1 other group, practicing in Tucson, Arizona. Medicare paid $146,910 for services to 266 patients in 2024.
Overview
| NPI | 1033458930 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Feb 12, 2013 |
| Last updated in NPPES | Jun 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11614 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 266 |
|---|---|
| Services billed | 7,927 across 13 procedure codes |
| Paid by Medicare | $146,910 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Physio Shop Tucson LLCTucson, AZ · 13 clinicians
- Ridgeview Physical Therapy PLLCTucson, AZ · 5 clinicians
Other physical therapists in Tucson
- 1285394387
- 1003348152
- 1003411372
- 1003845686
- 1003886011
- 1023008273
- 1023181765
- 1023233640
- 1023352283
- 1023466778
- 1033840608
- 1033944616
All 746 physical therapists in Tucson · All physical therapists in Arizona