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

Kelly Waack, DPT

Individual provider Physical Therapist · NPI 1811433576

Kelly Waack, DPT is a Physical Therapist in Private Practice in Moline, Illinois. Qualified in 2016, 10 years ago. Practices with Rock Valley Physical Therapy Center, a 232-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
10
Licensed in
IA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

850 43rd Ave Ste 100
Moline, IL 61265-8401
Phone: (309) 743-2070
Fax: (309) 743-2073
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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 085689 (IA)

Record details

NPI number1811433576
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 18, 2017
Last updated in NPPESDecember 12, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Rock Valley Physical Therapy Center — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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