KELLY A PICKENS (NPI# 1043731797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043731797 |
| Entity Type | Individual |
| Full Name | KELLY A PICKENS |
| Other Name | KELLY A HERMES |
| Credential | DPT |
| Practice Address |
7341 Office Park Pl Ste 102 Melbourne FL 32940 |
| Mailing Address |
24630 Washington Ave Ste 200 Murrieta CA 92562-6177 |
| Practice Telephone | 3216906612 |
| Practice Fax Number | 3216902630 |
| Mailing Telephone | 9516096336 |
| Mailing Fax Number | 9519737216 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT31671 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 05012541A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PT LICENSURE | PT31671 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Us Highway 41, Schererville, IN 463751201 | 2199234832 | 2199234838 |
| 660 E Eau Gallie Blvd Ste 106, Indian Harbour Beach, FL 329374252 | 3217735290 | 3217735268 |
| 3680 N Wickham Rd Ste B, Melbourne, FL 329352327 | 3212555500 | 3272555551 |
| 417 5th Ave Apt 101, Indialantic, FL 329034224 | 3217272707 | 3217272977 |
| 4270 Minton Rd Ste 120, West Melbourne, FL 329049579 | 3219842933 | 3219535379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281401 | Kelly A Pickens | Nurse Practitioner | 301 E 2nd St, Richland Center, WI 53581-1900 | 2005-08-03 |
| Street Address |
7341 OFFICE PARK PL STE 102 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659475960 | Michael S Holmes | Physical Therapist | 7341 Office Park Pl Ste 102, Melbourne, FL 32940-8280 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
|---|---|---|---|---|
| 1669005559 | Premier Physical Therapy & Sports Medicine | Physical Therapist | 2222 S Harbor City Blvd Ste 530, Melbourne, FL 32901-5591 | 2020-02-19 |
| 1093289480 | Martin Gaston Garcia | Physical Therapist | 6300 N Wickham Rd Ste 133b, Melbourne, FL 32940-2029 | 2019-01-18 |
| 1063985638 | Miguel Urena | Physical Therapist | 5153 Cocoplum Ave, Melbourne, FL 32940-1400 | 2019-01-07 |
| 1356824569 | Kathy D Rohaley | Physical Therapist | 2755 N Wickham Rd, Melbourne, FL 32935-2226 | 2018-09-13 |
| 1164901534 | Jms Speech Therapy Services Inc | Physical Therapist | 1565 Fuji Dr, Melbourne, FL 32940-7129 | 2018-08-07 |
| 1467930263 | Paige Elise Hubert | Physical Therapist | 4450 W Eau Gallie Blvd Ste 7277, Melbourne, FL 32934-7213 | 2018-08-02 |
| 1538651757 | Tiffany L Lipsky | Physical Therapist | 801 E Hibiscus Blvd Ste 1, Melbourne, FL 32901-3252 | 2018-06-04 |
| 1033623590 | Josie's Pediatric Therapy Services P.a. | Physical Therapist | 5025 Smithfield, Melbourne, FL 32934-2808 | 2017-11-20 |
| 1669997888 | Holly Tanner | Physical Therapist | 205 E Nasa Blvd Ste 100, Melbourne, FL 32901-1953 | 2017-08-09 |
| 1366967705 | Sarah E Middleton | Physical Therapist | 3680 N Wickham Rd Ste B, Melbourne, FL 32935-2327 | 2017-08-07 |
| Find all providers in MELBOURNE | ||||
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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.