KALEB JOSEPH SANDELLCLARK MS, DPT
NPI 1063268951
Physical Therapist in Milwaukee, WI

Active since April 30, 2024Accepts Medicare Assignment
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209(414) 352-3100 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Apr 30, 2024 (2 updates tracked since 2024).

About Kaleb Joseph Sandellclark Ms, Dpt NPPES

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

KALEB JOSEPH SANDELLCLARK MS, DPT (NPI 1063268951) is an individual physical therapist in Milwaukee, Wisconsin, licensed in Wisconsin (16787) and active in the NPI registry since April 2024. He maintains a secondary practice location in Milwaukee and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063268951
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKALEB JOSEPH SANDELLCLARKCredential: MS, DPT
Location Address3003 W GOOD HOPE RDMilwaukee, WI 53209-2042
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 30, 2024
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1063268951 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
License Licensed in WI · 16787
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.
3003 W GOOD HOPE RD, Milwaukee, WI 53209

Secondary Practice Location 1

Location 12018 N Oakland Ave Apt 102Milwaukee, WI 53202-1173 · Phone (608) 217-2634

Other Identifiers 1

Medicaid100278649WI

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

Kaleb Joseph Sandellclark Ms, Dpt 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 ID42754525
PECOS Enrollment IDI20240626001994

Areas of Expertise CMS Part B claims

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.
148 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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.

Pharmacist
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Physician Assistant
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Nurse Practitioner
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209
Family Medicine
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209

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 Kaleb Sandellclark's NPI number?

The NPI number for Kaleb Sandellclark is 1063268951. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Kaleb Sandellclark located?

Kaleb Sandellclark practices at 3003 W Good Hope Rd, Milwaukee, WI 53209. The listed phone number is (414) 352-3100.

What is Kaleb Sandellclark's specialty?

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

Is Kaleb Sandellclark enrolled in Medicare?

Yes. Kaleb Sandellclark 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 Kaleb Sandellclark accept?

Health plans from CareSource (Common Ground Healthcare) and Quartz list Kaleb Sandellclark 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 Kaleb Sandellclark was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.