DR. GLENN RICHARD KELLY (NPI# 1245377282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245377282 |
| Entity Type | Individual |
| Full Name | DR. GLENN RICHARD KELLY |
| Credential | DC |
| Practice Address |
44122 Mistletoe Ter Ashburn VA 20147-2818 |
| Practice Telephone | 7036277553 |
| Mailing Telephone | 7036277553 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
010455985 | VA | Chiropractic Providers |
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
010455985 | VA | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
010455985 | VA | Chiropractic Providers |
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
010455985 | VA | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
010455985 | VA | Chiropractic Providers |
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
010455985 | VA | Chiropractic Providers |
| Street Address |
44122 MISTLETOE TER |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568674547 | Vishal Krishna Verma | Chiropractor | 43810 Central Station Dr, Ste 160, Ashburn, VA 20147-7210 | 2007-05-04 |
| 1073748547 | Amir Ahmadiyar Dc PC II | Chiropractor | 44121 Harry Byrd Hwy, 145, Ashburn, VA 20147-5667 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025124 | William R Goff | Chiropractor | 3026a W Cary St, Richmond, VA 23221-3502 | 2020-02-14 |
| 1013416569 | Nova Back Doctor Pplc | Chiropractor | 6080 Franconia Rd Ste B, Alexandria, VA 22310-4427 | 2018-02-09 |
| 1932562311 | Alexandria Pain & Rehabilitation Center,llc | Chiropractor | 5904 Old Richmond Hwy, Suite 515, Alexandria, VA 22303 | 2016-04-01 |
| 1992161731 | Billy Michael Ray | Chiropractor | 3211 Peoples Dr Ste 140, Harrisonburg, VA 22801-7621 | 2016-01-09 |
| 1831591981 | Lovespine Chiropractic Clinic II, Inc. | Chiropractor | 14161 Robert Paris Ct, Suite B, Chantilly, VA 20151-4238 | 2014-09-19 |
| 1306282470 | Thi Ngoc Nguyen | Chiropractor | 6400 Seven Corners Pl., Suite H, Falls Church, VA 22044 | 2013-05-16 |
| 1215217740 | Kevin Patrick Ward | Chiropractor | 10515 Braddock Rd, Suite B, Fairfax, VA 22032-2236 | 2011-08-29 |
| 1710277579 | Legrant Chiropractic PC | Chiropractor | 403 Mount Cross Rd, Suite 101, Danville, VA 24540-5561 | 2011-04-13 |
| 1255648002 | Nieder Chiropractic & Rehabilitation,inc. | Chiropractor | 620 Neff Ave Ste 100, Harrisonburg, VA 22801-3497 | 2010-08-31 |
| 1942431952 | Shane Patrick Morrison | Chiropractor | 6070 Indian River Rd, Suite 102, Virginia Beach, VA 23464-3895 | 2009-08-07 |
| Find all providers with the same taxonomy | ||||
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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.