Kelly Ridge, PHYSICAL THERAPY
NPI 1336771153ActiveIndividual· Physical Therapist· Millersville, MD
Physical Therapist (PHYSICAL THERAPY) with 2 Ws LLC, practicing in Millersville, Maryland. Medicare paid $112,109 for services to 68 patients in 2024.
Overview
| NPI | 1336771153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPY |
| Sole proprietor | No |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | Oct 28, 2022 |
| Certified by provider | Oct 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 27854 | MD |
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 (DC); Practitioner - Physical Therapist in Private Practice (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 5,438 across 12 procedure codes |
| Paid by Medicare | $112,109 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- 2 Ws LLCSeverna Park, MD · 5 clinicians
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