Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew D Kelly, PT

Individual provider Physical Therapist · NPI 1508025347

Andrew D Kelly, PT is a Physical Therapist in Private Practice in Crandon, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2008, 18 years ago. Practices with Forest County Potawatomi Community, a 21-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
18
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8201 Mish Ko Swen Dr
Crandon, WI 54520-8631
Phone: (715) 478-4300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10994 (WI)

Record details

NPI number1508025347
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 6, 2008
Last updated in NPPESJuly 15, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Forest County Potawatomi Community — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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