Doctor profile · Federal record
Dr. Mallory Kelly, PT, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Twin Lakes, WI
- NPI 1104340769
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
700 N Lake Ave
Twin Lakes, WI 531819436
(262) 877-2124 - Additional location
-
543 Orchard St
Antioch, IL 600023107
(847) 395-6100
fax (847) 395-6162 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- October 3, 2025
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- Medicaid
- WI #100093769
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104340769. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,065
Distinct HCPCS
4
Medicare allowed
$28,097
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 808 | 49 | $24 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 133 | 22 | $20 | |
97535 |
Training for self-care or home management, each 15 minutes | 85 | 36 | $29 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 39 | 31 | $97 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 262. This provider delivers 4.1× the peer median.Frequently asked questions
What is Dr. Mallory Kelly's medical specialty?
Dr. Mallory Kelly practices Physical Therapist in Twin Lakes, WI.
Where does Dr. Mallory Kelly practice?
Dr. Mallory Kelly practices at 700 N Lake Ave, Twin Lakes, WI 531819436. Office phone: 2628772124.
What is Dr. Mallory Kelly's NPI?
Dr. Mallory Kelly's National Provider Identifier (NPI) is 1104340769, issued by NPPES.
Does Dr. Mallory Kelly accept Medicare assignment?
Yes. Dr. Mallory Kelly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mallory Kelly commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Training for self-care or home management (HCPCS 97535). Source: CMS Medicare Physician & Other Practitioners file.