KELLIE LUCILLE JOHNSON (NPI# 1235741331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235741331 |
| Entity Type | Individual |
| Full Name | KELLIE LUCILLE JOHNSON |
| Credential | PT, DPT |
| Practice Address |
3747 Sw Raintree Dr Lees Summit MO 64082-4606 |
| Mailing Address |
1200 Corporate Dr Ste 400 Hoover AL 35242-5424 |
| Practice Telephone | 8165375648 |
| Practice Fax Number | 8165375649 |
| Mailing Telephone | 4232387217 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2020027177 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871860817 | Kellie Simpson Johnson | Speech-Language Pathologist | 5106 W Running Brook Rd, Columbia, MD 21044-1522 | 2011-11-18 |
| 1750690004 | Kellie Diann Johnson | Licensed Vocational Nurse | 1412 15th St, Huntsville, TX 77340-4430 | 2010-10-05 |
| 1447307632 | Kellie Suzanne Johnson | General Practice | 2221 9th St Sw, Canton, OH 44706-1464 | 2007-01-03 |
| 1346337375 | Kellie Anita Johnson | Dentist | 815 E Berry St # B, Ft Worth, TX 76110-4414 | 2006-10-10 |
| 1124553870 | Kellie Johnson | Occupational Therapist | 1301 Pierce Ave, Toronto, OH 43964-1015 | 2017-05-01 |
| 1487192696 | Kellie Johnson | Licensed Practical Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-02-08 |
| 1689064321 | Kellie L Johnson | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2015-02-03 |
| 1689916447 | Kellie Marie Johnson | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2013-03-20 |
| 1750632089 | Kellie Renae Johnson | Specialist | 1315 Sw 6th Ave Ste B, Topeka, KS 66606-1582 | 2012-09-26 |
| 1396975553 | Kellie Nicole Johnson | Nurse Practitioner | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2009-07-22 |
| Street Address |
3747 SW RAINTREE DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64082-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093763658 | Serc of Lee's Summit | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2006-05-05 |
| 1518451426 | Karsyn Michelle Brettmann | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082 | 2018-06-15 |
| 1992296941 | Devan Myrinda Heronemus | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082 | 2018-05-25 |
| 1841715398 | Melissa Sue Burden | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2017-08-06 |
| 1144687963 | Kara Michelle Pressly I | Physical Therapy Assistant | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2016-01-25 |
| 1205207396 | Jessica Winberry Walker | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2015-10-14 |
| 1942615778 | Bryan Thomas Barker | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2014-07-01 |
| 1871928580 | Serc Rehabilitation Partners, LLC | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2013-09-12 |
| 1881958320 | Serc Rehabilitation Partners, LLC | Clinic/Center | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2012-06-29 |
| 1598023301 | Bethany Dale Wirsig | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475357 | Core Care At Home LLC | In Home Supportive Care | 312 Southwest Greenwich Dr., Ste 184, Lees Summit, MO 64082 | 2018-01-29 |
| 1255874970 | Wal-mart Stores East, Lp | Technician/Technologist | 3410 Sw Market St, Lees Summit, MO 64082 | 2016-11-29 |
| 1033561030 | Kansas City Disc and Nerve Center | Chiropractor | 350 Sw Greenwich Dr., Lee's Summit, MO 64082 | 2016-07-01 |
| 1134365125 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 3751 Hollywood Drive, Lees Summit, MO 64082 | 2008-12-23 |
| 1689604944 | Alicia M Bailey | Nurse Practitioner | 2325 Sw River Spring Cir, Lees Summit, MO 64082 | 2006-07-03 |
| 1407899131 | Family Care At Arbor Walk, LLC | Family Medicine | 1301 Sw Arbor Walk Blvd, Suite A, Lee's Summit, MO 64082 | 2006-06-13 |
| 1770538936 | Michelle Rene Britton-mehlisch | Family Medicine | 1301 A Arborwalk Blvd, Lees Summit, MO 64082 | 2006-05-24 |
| 1609848407 | Steven Ronsick | Internal Medicine | 741 Sw Admiral Byrd Dr, Lee's Summit, MO 64082 | 2006-02-06 |
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1598256984 | Erica R Ketchem | Dentist | 3568 Sw Market St, Lees Summit, MO 64082 | 2018-05-22 |
| Find all providers in zip 64082 | ||||
| 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 |
|---|---|---|---|---|
| 1760099022 | Haley Hayes | Physical Therapist | 2861 Ne Independence Ave, Lees Summit, MO 64064-2350 | 2020-09-29 |
| 1700402997 | Adam Paul | Physical Therapist | 783 Nw Donovan Rd, Lees Summit, MO 64086-4542 | 2020-06-23 |
| 1417449844 | Katherine Ann Rush | Physical Therapist | 3483 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 | 2018-06-01 |
| 1043759574 | Johanna Mccarthy | Physical Therapist | 2601 Se Nottingham Dr, Lees Summit, MO 64063-3658 | 2017-02-16 |
| 1982142451 | Alicia Barnard | Physical Therapist | 1174 Ne Douglas St, Lees Summit, MO 64086-4602 | 2017-02-05 |
| 1285084269 | Bradley Aubin | Physical Therapist | 208 Nw Oldham Pkwy, Lees Summit, MO 64081-1520 | 2016-06-21 |
| 1083064638 | Thomas Ronck | Physical Therapist | 100 Ne Tudor Rd Ste 110, Lees Summit, MO 64086-5601 | 2016-06-14 |
| 1700243201 | Timothy Allen Forbes | Physical Therapist | 101 Se Chelsea Dr, Lees Summit, MO 64063-2442 | 2016-01-28 |
| 1205212982 | Ameer Ghaisarnia | Physical Therapist | 100 Ne Tudor Rd, Suite 110, Lees Summit, MO 64086-4507 | 2015-08-05 |
| 1326446576 | Kristine Northern | Physical Therapist | 5118 Sw Snowy Egret St, Lees Summit, MO 64082-4523 | 2014-12-19 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64082 |
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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.