KELLY J HERBST-FRAILING MPT
NPI 1053889840
Physical Therapist in Greenfield, WI

Active since November 09, 2018Accepts Medicare Assignment
9000 W SURA LN, GREENFIELD, WI 53228(414) 246-6800 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Nov 23, 2021, Jul 23, 2019 and 1 more (4 updates tracked since 2018).

About Kelly J Herbst-frailing Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY J HERBST-FRAILING MPT (NPI 1053889840) is an individual physical therapist in Greenfield, Wisconsin and active in the NPI registry since November 2018. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1053889840
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY J HERBST-FRAILINGCredential: MPT
Location Address9000 W SURA LNGreenfield, WI 53228-3477
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 9, 2018
Last NPPES UpdateNovember 18, 20244 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1053889840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
9000 W SURA LN, Greenfield, WI 53228

Other Identifiers 1

Medicaid100083356WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly J Herbst-frailing Mpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688901507
PECOS Enrollment IDI20190814003042

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
303 services21 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
113 services15 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Pharmacist
9000 W SURA LN
GREENFIELD, WI 53228
Occupational Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Speech-Language Pathologist
9000 W SURA LN
GREENFIELD, WI 53228
Pediatrics
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Herbst-frailing's NPI number?

The NPI number for Kelly Herbst-frailing is 1053889840. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Kelly Herbst-frailing located?

Kelly Herbst-frailing practices at 9000 W Sura Ln, Greenfield, WI 53228. The listed phone number is (414) 246-6800.

What is Kelly Herbst-frailing's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Herbst-frailing enrolled in Medicare?

Yes. Kelly Herbst-frailing is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Herbst-frailing accept?

Health plans from CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Kelly Herbst-frailing as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Herbst-frailing was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.