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

Individual provider Physical Therapist · NPI 1114272093

Derk Kelly, PT, DPT is a Physical Therapist in Wauwatosa, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6004 W Wells St
Wauwatosa, WI 53213-3244
Phone: (804) 349-5941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12071-24 (WI)

Record details

NPI number1114272093
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 17, 2012
Last updated in NPPESJuly 17, 2012

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