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

Kelley Gick, PTA

Individual provider Physical Therapy Assistant · NPI 1295301802

Kelley Gick, PTA is a Physical Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2927 Lake Ave
Fort Wayne, IN 46805-5415
Phone: (260) 469-4148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06002002A (IN)

Record details

NPI number1295301802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address1900 Carew St Ste 6, Fort Wayne, IN 46805-4765

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