KELLY JEAN TODD


Address: 3027 S New Haven Ave, Tulsa, OK 74114-6131
Phone: 9188699759

KELLY JEAN TODD (NPI# 1184966004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184966004
Entity Type Individual
Full Name KELLY JEAN TODD
Credential ATC
Practice Address 3027 S New Haven Ave
Tulsa
OK 74114-6131
Mailing Address 5022 S Toledo #19m
Tulsa
OK 74135
Practice Telephone 9188699759
Mailing Telephone 9188699759
Enumeration Date 2013-03-18
Last Update Date 2013-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
33617 OK Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KELLY TODD

NPI Name Taxonomy Address Enumeration
1992319909 Kelly Todd Developmental Therapist 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 2020-09-07
1356815799 Kelly Todd Case Manager/Care Coordinator 7610 40th St W Ste 300, University Place, WA 98466-3834 2019-01-18
1538656145 Kelly Cotaleen Todd Nurse Practitioner 1 Childrens Pl, Saint Louis, MO 63110-1002 2018-04-18
1114470440 Kelly Todd Developmental Therapist 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 2016-08-03
1235508847 Kelly Todd Pharmacist 1911 Church St, Suite 200, Nashville, TN 37203-2313 2015-09-24
1992905368 Kelly J Todd Physician Assistant 401 North Live Oak Dr, Moncks Corner, SC 29461 2007-07-23
1285778340 Kelly Todd Physical Therapist 1820 W Main St, St Charles, IL 60174-1634 2007-02-20
1366527152 Kelly Jo Todd Audiologist 2320 Concord Rd, Lafayette, IN 47909-2708 2006-10-27
1982636049 Kelly Lee Todd Physical Therapy Assistant 759 W Church St, Lexington, TN 38351-1738 2006-07-07

Office Location

Street Address 3027 S NEW HAVEN AVE
City TULSA
State OK
Zip Code 74114-6131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154313948 Independent School District Number 1 of Tulsa County, Oklahoma Public Health or Welfare 3027 S New Haven Ave, Tulsa, OK 74114-6131 2005-08-17
1275180614 Keaton Leeann Maddoux Occupational Therapist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2019-08-21
1851948566 Hayley Rose Peterson Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2019-08-19
1972076214 Tiffany M Henley Occupational Therapist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2019-01-09
1902345358 Terri Stafford Occupational Therapist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2017-02-17
1386181295 Rosemary Mulkins Psychologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2017-01-30
1376093393 Constance Townsend Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-10-13
1609324649 Theresa Guillory Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-09-20
1205384674 Stephanie Shumaker Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-09-14
1699222869 Sarah Freeman Speech-Language Pathologist 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-09-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356865307 Helen Marie Collier Registered Nurse 2325 S. Harvard Avenue, Tulsa, OK 74114 2017-08-01
1730635640 Portia Resnick Specialist/Technologist 5707 E 24th Pl, Tulsa, OK 74114 2016-08-31
1093177925 Ana Achlosser Counselor 2120 S Jamestown Ave, Tulsa, OK 74114 2016-03-21
1437558277 Nicole Holzkamper Case Manager/Care Coordinator 2525 S Harvard Ave, Tulsa, OK 74114 2014-08-18
1619216272 Nicole Lisette Mancinelli Physician Assistant 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 2013-02-01
1598001414 Zachary Paschall Counselor 2325 S Havard Ave, Tulsa, OK 74114 2012-12-20
1346511334 Chelsea Lee Joslin Counselor 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 2012-01-23
1073893210 Elizabeth C Canfield Speech-Language Pathologist 1929 South 74th East Avenue, Tulsa, OK 74114 2011-08-19
1508185430 Karly Lynn Mason Social Worker 2140 S. Harvard, Tulsa, OK 74114 2010-05-17
1790922185 State of Oklahoma Community Based Residential Treatment Facility, Mental Illness 2323 South Harvard, Tulsa, OK 74114 2009-01-07
Find all providers in zip 74114

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083227110 Mercedes Phegley Specialist/Technologist 2815 E 5th St Apt 1936, Tulsa, OK 74104-3122 2020-08-28
1689285363 Meredith Galloway Specialist/Technologist 2806 E 8th St Apt 3022, Tulsa, OK 74104-7402 2020-08-14
1427681766 Brianna Lee Brooks Specialist/Technologist 3014 E 8th St Apt 4313, Tulsa, OK 74104-7436 2020-02-14
1083245948 Hana Young Clancy Specialist/Technologist 2626 S Trenton Ave, Tulsa, OK 74114-2728 2020-01-30
1770043275 Kacee Schroeder Specialist/Technologist 1219 S Sandusky Ave, Tulsa, OK 74112-5215 2019-03-21
1780140293 Lauren Runquist Specialist/Technologist 121 North Ave, Tulsa, OH 74101 2019-02-20
1588150312 Campbell Ward Ernst Specialist/Technologist 3901 S Granite Ave, Tulsa, OK 74135-5557 2018-07-04
1154862969 Kaelynn Justyne Lemke Specialist/Technologist 11920 E Apache St, Tulsa, OK 74116-1309 2017-03-13
1730635640 Portia Resnick Specialist/Technologist 5707 E 24th Pl, Tulsa, OK 74114 2016-08-31
1588021174 Peter Semrad Specialist/Technologist 3330 N Mingo Rd, Tulsa, OK 74116-1211 2016-01-27
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74114

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Dataset Information

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.

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