Kelley Schaefer Hale, PT,DPT
NPI 1679111777ActiveIndividual· Physical Therapist· Roanoke, TX
Physical Therapist (PT,DPT) with Legacy Physical Therapy and Wellness LLC, practicing in Roanoke, Texas. Medicare paid $15,153 for services to 14 patients in 2024.
Overview
| NPI | 1679111777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT,DPT |
| Sole proprietor | Yes |
| NPI issued | Dec 19, 2019 |
| Last updated in NPPES | Dec 19, 2019 |
| Certified by provider | Dec 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1304549 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 859 across 9 procedure codes |
| Paid by Medicare | $15,153 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Legacy Physical Therapy and Wellness LLCRoanoke, TX · 3 clinicians
Other Physical Therapist providers in Roanoke
- 1932748498
- 1063806818
- 1578338182
- 1528804036
- 1013968882
- 1134006430
- 1538044045
- 1134545007
- 1457192791
- 1508517913
- 1407811409
- 1578251880