Kelly Lynn Bardosy
NPI 1790052314ActiveIndividual· Physical Therapist· Racine, WI
Physical Therapist in Racine, Wisconsin, trained at Marquette University School of Dentistry (class of 2005). Medicare paid $59,246 for services to 57 patients in 2024.
Overview
| NPI | 1790052314 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 28, 2011 |
| Last updated in NPPES | Apr 13, 2021 |
| Certified by provider | Apr 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 10456-024 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 3,349 across 6 procedure codes |
| Paid by Medicare | $59,246 |
Education and affiliations
| Medical school | Marquette University School of Dentistry |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Physical Therapist In Private Practice |
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All 44 physical therapists in Racine · All physical therapists in Wisconsin