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).
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 |
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 |
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 |
Street Address |
3027 S NEW HAVEN AVE |
City | TULSA |
State | OK |
Zip Code | 74114-6131 |
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 |
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 Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
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] |
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 |
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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.