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

Kellie Hierl

Individual provider Physical Therapist · NPI 1063344547

Kellie Hierl is a Physical Therapist in Private Practice in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026
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Practice location Address checks out

5333 N Port Washington Rd Ste B
Glendale, WI 53217-4914
Phone: (414) 716-1770
Fax: (414) 716-1772
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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 17748-24 (WI)

Record details

NPI number1063344547
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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