KELLY AVANT (NPI# 1164768008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164768008 |
| Entity Type | Individual |
| Full Name | KELLY AVANT |
| Credential | PT |
| Practice Address |
9040 Jackson Ave Madigan Army Medical Center Tacoma WA 98431-0001 |
| Mailing Address |
Womack Army Medical Ctr 2817 Reilly Rd Fort Bragg NC 28310-0001 |
| Practice Telephone | 2539681518 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 0011981 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641694 | Muhammad Ayub | Family Medicine | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2005-06-30 |
| 1699399659 | Haywood Maurice Mcrae | Social Worker | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2020-06-04 |
| 1710490677 | Layne Jensen | Registered Nurse | 9040 Jackson Ave Madigan Army Medical Center, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-11-14 |
| 1437679636 | Michael John Zylstra | General Practice | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-5001 | 2017-06-20 |
| 1033666581 | Diana Monzon | Registered Nurse | 9040 Jackson Ave Madigan Army Medical Center, Attn: Mchj-clq-c, Tacoma, WA 98413-1100 | 2016-09-01 |
| 1639541717 | Justin Schafer | Physician Assistant | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2015-10-28 |
| 1013270180 | Nichole Lynn Mogharreban | Psychologist | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2012-06-22 |
| 1891058145 | Kristopher M Peters | Dermatology | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-4613 | 2012-06-21 |
| 1992066765 | Matthew Steven Reece | Anesthesiology | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-5001 | 2012-06-07 |
| 1477824068 | Cynthia Benton Lee | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-2010 | 2012-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| 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 |
|---|---|---|---|---|
| 1306447677 | James Richard Cramer | Physical Therapist | 950 Pacific Ave Fl 8, Tacoma, WA 98402-4400 | 2020-11-03 |
| 1780297226 | Randy Wayne Cressler | Physical Therapist | 2315 6th Ave, Tacoma, WA 98403-1050 | 2020-08-25 |
| 1417584319 | Darrin Moy | Physical Therapist | 2021 S 8th St Unit B, Tacoma, WA 98405-3031 | 2020-03-23 |
| 1295368686 | Ross Obertean | Physical Therapist | 1407 E 72nd St Ste 100, Tacoma, WA 98404-5923 | 2020-02-13 |
| 1255972923 | Nathaniel Shelden | Physical Therapist | 311 S L St Fl 3, Tacoma, WA 98405-3720 | 2019-10-03 |
| 1518513167 | Nicholas Kaftan | Physical Therapist | 1901 S 72nd St Ste A1, Tacoma, WA 98408-1200 | 2019-08-09 |
| 1992206189 | Joseph Casey Olofsson | Physical Therapist | 3208 S 23rd St Ste 100, Tacoma, WA 98405-1607 | 2018-02-23 |
| 1043724024 | Kevin Wesley Mcclellan | Physical Therapist | 1802 S Union Ave Ste 100, Tacoma, WA 98405-1950 | 2017-11-28 |
| 1235653650 | Benjamin Lee Hannula | Physical Therapist | 1 N Tacoma Ave Ste 103, Tacoma, WA 98403-3131 | 2017-07-27 |
| 1881141661 | Bethany Nguyen | Physical Therapist | 10306 91st Street Ct Sw, Tacoma, WA 98498-1934 | 2016-09-08 |
| Find all providers in TACOMA | ||||
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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.