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

Kelly Lynn Bardosy

Individual provider Physical Therapist · NPI 1790052314

Kelly Lynn Bardosy is a Physical Therapist in Private Practice in Racine, Wisconsin. Graduated from Marquette University School of Dentistry in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Trained at
Marquette University School of Dentistry
Licensed in
WI
In the registry since
2011
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Practice location Address checks out

3920 N Green Bay Rd Ste 150
Racine, WI 53404-1416
Phone: (262) 321-7164
Fax: (262) 314-6051
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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 10456-024 (WI)

Record details

NPI number1790052314
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2011
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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