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

Kelly Ridge, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1336771153

Kelly Ridge, PHYSICALTHERAPY is a Physical Therapist in Private Practice in Millersville, Maryland. Qualified in 2019, 7 years ago. Practices with 2 Ws LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

1009 Kinder Farm Park Rd
Millersville, MD 21108-1706
Phone: (240) 925-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Sallitt Dr, Stevensville, MD 21666-2279 — (410) 604-2162

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27854 (MD)

Record details

NPI number1336771153
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPY
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESOctober 28, 2022
Certification dateOctober 26, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice 2 Ws Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Millersville