JESSICA KELLY (NPI# 1043703143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043703143 |
| Entity Type | Individual |
| Full Name | JESSICA KELLY |
| Other Name | JESSICA LYLES |
| Credential | PT |
| Practice Address |
3851 Commercial Center Dr Ladson SC 29456-4146 |
| Practice Telephone | 8433145434 |
| Practice Fax Number | 8885109156 |
| Mailing Telephone | 8433145434 |
| Mailing Fax Number | 8885109156 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 9151 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427883 | Jessica Kelly | Licensed Vocational Nurse | 5511 Surfrider Way, San Diego, CA 92154-8602 | 2015-01-20 |
| 1316202757 | Jessica Kelly | Massage Therapist | 902 Ne 65th Street, Seattle, WA 98115 | 2012-07-11 |
| 1609057439 | Jessica L Kelly | Community/Behavioral Health | 8004 Crooked Chute Ct, Raleigh, NC 27612-7324 | 2007-11-20 |
| 1225248248 | Jessica Kelly | Occupational Therapist | 139 Toddy Hill Road, Newtown, CT 06470 | 2007-05-22 |
| 1114528023 | Jessica Kelly | Pharmacist | 3 Commerce Dr, Hooksett, NH 03106-2528 | 2020-11-06 |
| 1487203667 | Jessica Kelly | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2019-09-10 |
| 1730652496 | Jessica Lynn Kelly | Chiropractor | 2122 W Nine Mile Rd, Pensacola, FL 32534-9464 | 2019-01-05 |
| 1174098537 | Jessica Kelly | Social Worker | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2018-10-11 |
| 1760973416 | Jessica Kelly | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2018-05-29 |
| 1205358827 | Jessica Kelly | Social Worker | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2017-07-14 |
| Street Address |
3851 COMMERCIAL CENTER DR |
| City | LADSON |
| State | SC |
| Zip Code | 29456-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710999503 | Crystal L Adams I | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456 | 2006-08-12 |
| 1295336899 | Montana Tally | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-11-02 |
| 1942809041 | Sarah Moser | Occupational Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-10-20 |
| 1598372120 | Payton Lee Farris | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-09-28 |
| 1295341360 | Delilah Aguero | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-09-23 |
| 1679188205 | Mary Skelton | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-09-10 |
| 1396359170 | Altman Toledano | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-08-31 |
| 1174134639 | Tanya Chmunevich | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-08-10 |
| 1841808730 | Kayla Elizabeth Rymer | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-07-17 |
| 1760009377 | Julia M Masciale | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159248 | Ingleside Family Dental, LLC | Dentist | 9403 Highway 78, Suite 201, Ladson, SC 29456 | 2020-03-20 |
| 1598231359 | Destiny Jenay Adkins | Specialist/Technologist | 9525 Highway 78 Apartment 400-207, Ladson, SC 29456 | 2018-10-19 |
| 1477049484 | Adebambo Adesanya | Driver | 1008 Turtle Dove Ln, Ladson, SC 29456 | 2018-07-03 |
| 1184117327 | Lauren Elizabeth Bradley | Speech-Language Pathologist | 9565 Hwy 78, Bldg. 700, Ste. 102, Ladson, SC 29456 | 2018-06-12 |
| 1205348067 | Samantha Marie Grimes | Speech-Language Pathologist | 9565 Highway 78 Bldg 102, Ladson, SC 29456 | 2017-11-01 |
| 1699295915 | Sara Paige Gagnier | Occupational Therapist | 9565 Hwy 78 Bldg 700 Ste 102, Ladson, SC 29456 | 2017-06-27 |
| 1467982728 | Heritage Dental LLC | Clinic/Center | 9598 Palmetto Commerce Parkway, Ladson, SC 29456 | 2017-06-19 |
| 1013384239 | Zachary Jordan | Pharmacist | 3685 Ladson Rd., Ladson, SC 29456 | 2015-08-24 |
| 1831534676 | Tracie Jo Horton | Registered Nurse | 3321 Ladson Rd., Ladson, SC 29456 | 2013-05-07 |
| 1972859684 | Nicole Marie Hall | Physical Therapist | 4340 Ladson Rd Ste B, Ladson, SC 29456 | 2012-07-31 |
| Find all providers in zip 29456 | ||||
| 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 |
|---|---|---|---|---|
| 1053853101 | Chelsea Wright | Physical Therapist | 9565 Highway 78 Ste 105, Ladson, SC 29456-4118 | 2016-11-07 |
| 1972859684 | Nicole Marie Hall | Physical Therapist | 4340 Ladson Rd Ste B, Ladson, SC 29456 | 2012-07-31 |
| 1366712242 | Mary Ashton Pratt | Physical Therapist | 3481 Ladson Road, Ladson, SC 29456 | 2012-01-09 |
| 1396359170 | Altman Toledano | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-08-31 |
| 1841808730 | Kayla Elizabeth Rymer | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-07-17 |
| 1760009377 | Julia M Masciale | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-06-30 |
| 1649895996 | Erin Wright | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-06-12 |
| 1306480124 | Wanda Bacher | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2019-11-05 |
| 1750933099 | Michelle Lynn | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2019-07-16 |
| 1942868930 | Grace Powell | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2019-06-04 |
| Find all providers in LADSON | ||||
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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.