LAURA KELLY (NPI# 1073128401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073128401 |
| Entity Type | Individual |
| Full Name | LAURA KELLY |
| Practice Address |
100 E Ferguson St Ste 608 Tyler TX 75702-5756 |
| Mailing Address |
4411 Kinsey Dr Apt 931 Tyler TX 75703-1021 |
| Practice Telephone | 9037050070 |
| Mailing Telephone | 9852854380 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516012 | Laura Alexandra Kelly | Clinic/Center | 599 Knollwood Rd, White Plains, NY 10603-1918 | 2020-10-21 |
| 1487113148 | Laura B Kelly | Nurse Practitioner | 2300 Linda Dr, Conway, AR 72032-8999 | 2019-03-12 |
| 1275032385 | Laura Kelly | Nutritionist | 3131 Gosheff Ln, Gambrills, MD 21054-1936 | 2018-02-04 |
| 1912452988 | Laura Kelly | Counselor | 6258 N Artesian Ave, Apt 1, Chicago, IL 60659-2845 | 2016-08-19 |
| 1154770758 | Laura Kelly | Occupational Therapist | 355 N Wilmot Rd, Tucson, AZ 85711-2601 | 2016-06-06 |
| 1235518630 | Laura Kelly | Speech-Language Pathologist | 3329 Saint Georges Way, Loveland, OH 45140-1551 | 2015-05-19 |
| 1225313141 | Laura Kelly | Occupational Therapy Assistant | 94 Peddler Hill Rd, Monroe, NY 10950-2022 | 2011-10-12 |
| 1518287515 | Laura Elizabeth Kelly | Acupuncturist | 19616 Walnut Trl, Topanga, CA 90290-3120 | 2010-06-02 |
| 1548597263 | Laura E Kelly | Physical Therapist | 60 Lumber St, Hopkinton, MA 01748-2304 | 2009-11-17 |
| 1174723258 | Laura J Kelly | Speech-Language Pathologist | 39 Lake Shore Rd, Salem, NH 03079-1975 | 2007-07-18 |
| Street Address |
100 E FERGUSON ST STE 608 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-5756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932472602 | Rebecca Henderson | Counselor | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2012-02-10 |
| 1902407372 | Felica Nicole Burkes | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-11-03 |
| 1790382448 | Megan Montgomery | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-10-06 |
| 1356969950 | Victoria Stokes | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-07-09 |
| 1184244972 | Latonya Michelle Adams | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-04-21 |
| 1093349300 | Melissa Torres | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-02-25 |
| 1518591171 | Leslie Ranger Wyatt | Registered Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-02-23 |
| 1992338354 | Audrey Jane Gudger | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2020-02-13 |
| 1205487253 | Alyce Sellers | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2019-09-20 |
| 1497309702 | Natalie N Dowd | Registered Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121622 | Mikayla Black | Occupational Therapist | 11802 Fm 724, Tyler, TX 75704-3430 | 2020-07-09 |
| 1104306182 | Ann Hollingsworth Jones | Occupational Therapist | 8710 Pleasant Hill Cir, Tyler, TX 75707-6332 | 2018-08-18 |
| 1730693011 | Therainc, Inc | Occupational Therapist | 1918 E Front St, Tyler, TX 75702-8511 | 2017-11-25 |
| 1184077299 | Cyrus Ridenour | Occupational Therapist | 700 S Bois D Arc Ave, Tyler, TX 75701-1503 | 2016-07-13 |
| 1780075275 | Jerod Gordon | Occupational Therapist | 1808 Blossom Ln, Tyler, TX 75701-8237 | 2015-02-05 |
| 1053724377 | Jamie Nutt | Occupational Therapist | 5181 Elaine Dr, Tyler, TX 75703-8331 | 2014-06-04 |
| 1356646822 | Vikas Gupta | Occupational Therapist | 610 Huntwick Ln, Tyler, TX 75703-5099 | 2011-01-14 |
| 1457539066 | Katrina Deanne Hornsby | Occupational Therapist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2008-02-06 |
| 1902011521 | Catherine Ann Barone | Occupational Therapist | 730 S Chilton Ave, Tyler, TX 75701-1576 | 2007-05-14 |
| 1700902137 | Jan A Mobley | Occupational Therapist | 3200 Troup Hwy Ste 333, Tyler, TX 75701-8343 | 2007-03-21 |
| Find all providers in TYLER | ||||
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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.