KELLI BLAIR GUNTER (NPI# 1083271571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083271571 |
| Entity Type | Individual |
| Full Name | KELLI BLAIR GUNTER |
| Credential | PT, DPT, ATC, LAT |
| Practice Address |
5150 Crenshaw Rd Ste D100 Pasadena TX 77505-3095 |
| Practice Telephone | 7139431100 |
| Practice Fax Number | 7139431178 |
| Mailing Telephone | 7139431100 |
| Mailing Fax Number | 7139431178 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1295352 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT5956 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5150 CRENSHAW RD STE D100 |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447714639 | Adam Keith Aspaas | Physical Therapist | 5150 Crenshaw Rd Ste D100, Pasadena, TX 77505-3095 | 2019-01-22 |
| 1881220689 | Kendra Funk | Physical Therapy Assistant | 5150 Crenshaw Rd Ste D100, Pasadena, TX 77505-3095 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087217 | Vincent Ho | Physical Therapist | 800 S Raymond Ave Fl 3, Pasadena, CA 91105-3229 | 2019-08-06 |
| 1558567388 | Emma L Green | Physical Therapist | 780 S Arroyo Pkwy, Suites B and C, Pasadena, CA 91105-3232 | 2007-06-27 |
| 1558414763 | David Songchan Im | Physical Therapist | 2245 E. Colorado Blvd., #202, Pasadena, CA 91107 | 2007-01-19 |
| 1710072020 | Jason Thad Stracker | Physical Therapist | 959 E Walnut St Ste 240, Pasadena, CA 91106-1451 | 2006-10-03 |
| 1144796079 | Brent Davis | Physical Therapist | 4500 E Sam Houston Pkwy S Ste 215, Pasadena, TX 77505-3957 | 2018-10-18 |
| 1336697044 | Sarah Barnes | Physical Therapist | 3280 E Foothill Blvd, Pasadena, CA 91107-3103 | 2016-09-12 |
| 1245697523 | Jennifer Yeunyee Jing | Physical Therapist | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2016-01-18 |
| 1982040614 | William Lee | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2013-05-21 |
| 1639420425 | Andrew Benjamin Piraino | Physical Therapist | 4500 E Sam Houston Pkwy S, Suite 215, Pasadena, TX 77505-3959 | 2012-09-20 |
| 1508146499 | Annette Y Karim | Physical Therapist | 200 E Del Mar Blvd, Suite # 302, Pasadena, CA 91105-2544 | 2011-08-23 |
| Find all providers in PASADENA | ||||
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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.