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

Kaleb Joseph Sandellclark, MS, DPT

Individual provider Physical Therapist · NPI 1063268951

Kaleb Joseph Sandellclark, MS, DPT is a Physical Therapist in Private Practice in Milwaukee, Wisconsin. Qualified in 2024, 2 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone: (414) 352-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2018 N Oakland Ave Apt 102, Milwaukee, WI 53202-1173 — (608) 217-2634

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16787 (WI)

Record details

NPI number1063268951
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , DPT
Sole proprietorNo
NPI enumeratedApril 30, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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