DEREK KELLY (NPI# 1043649239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043649239 |
| Entity Type | Individual |
| Full Name | DEREK KELLY |
| Credential | PT/AOP |
| Practice Address |
3800 Shamrock Dr Charlotte NC 28215-3220 |
| Mailing Address |
4833 Meadowridge Dr Charlotte NC 28226-1214 |
| Practice Telephone | 7045325462 |
| Practice Fax Number | 7045325387 |
| Mailing Telephone | 7049994734 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 14094 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2675 Court Dr, Gastonia, NC 280541478 | 7048247800 | 7048242853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164622007 | Derek Keith Kelly | Emergency Medicine | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2007-07-19 |
| 1649499971 | Derek M Kelly | Orthopaedic Surgery | 1458 W Poplar Ave, Suite 100, Collierville, TN 38017-0630 | 2007-04-25 |
| 1407989106 | Derek Joseph Kelly | Family Medicine | 2740 W Foster Ave, Suite 209, Chicago, IL 60625-3500 | 2007-03-13 |
| 1306808597 | Derek Kelly | Dentist | 1597 Washington Pike Ste A5, Bridgeville, PA 15017-2881 | 2006-04-04 |
| Street Address |
3800 SHAMROCK DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275668857 | Shirena Andra James | Occupational Therapist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2007-02-22 |
| 1194332064 | Karen Jean Bryant | Counselor | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2020-09-25 |
| 1992265151 | Aqueelah Iman Yasin | Physical Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2019-03-23 |
| 1730617622 | Brittany Lynnae Marshe | Physical Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2017-05-23 |
| 1699215046 | Kristen Nicole Thompson | Physical Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2017-03-05 |
| 1982142428 | Belinda M Spinner | Occupational Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2017-02-04 |
| 1164878880 | The Village Behavioral Healthcare Services, Inc | Counselor | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2016-05-11 |
| 1689045817 | Kali R Nelson | Speech-Language Pathologist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2015-10-14 |
| 1801279922 | Mindy Warfford | Occupational Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2015-07-07 |
| 1811376155 | Priyanka Hingne | Physical Therapist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322616 | Lauren Blakey Gass | Physical Therapist | 7320 Brice Knoll Ln # D-305, Charlotte, NC 28269-3435 | 2020-03-23 |
| 1902431539 | Michelle Jane Hughes | Physical Therapist | 8024 Black Forest Ln Apt 11108, Charlotte, NC 28277-6736 | 2020-03-04 |
| 1538793237 | Mary Allison Cargill | Physical Therapist | 1700 N Brevard St Apt 217, Charlotte, NC 28206-3615 | 2020-03-03 |
| 1902436074 | Sarah Sullivan | Physical Therapist | 2120 N Brevard St Apt 147, Charlotte, NC 28206-3657 | 2020-01-17 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1265073423 | Christopher Dyba | Physical Therapist | 6034 Heath Valley Rd, Charlotte, NC 28210-4352 | 2019-09-30 |
| 1558919324 | Briana Packer | Physical Therapist | 5501 Sharon Rd, Charlotte, NC 28210-6357 | 2019-08-26 |
| 1720633258 | Roper Physical Therapy, Inc. | Physical Therapist | 301 E Tremont Ave Ste B, Charlotte, NC 28203-5484 | 2019-08-01 |
| 1770135188 | Parita Joshi | Physical Therapist | 7417 Hidden Creek Dr, Charlotte, NC 28214-8896 | 2019-07-15 |
| 1770147142 | Kelsi Brooke Fabin | Physical Therapist | 1901 Summey Ave, Charlotte, NC 28205-7931 | 2019-04-30 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.