KATHLEEN KELLEY (NPI# 1285961839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285961839 |
| Entity Type | Individual |
| Full Name | KATHLEEN KELLEY |
| Credential | DPT |
| Practice Address |
800 Kensington Ave Ste 100 Missoula MT 59801-5670 |
| Mailing Address |
5767 Fox Trl Florence MT 59833-6661 |
| Practice Telephone | 4062403878 |
| Practice Fax Number | 4065524843 |
| Mailing Telephone | 4062403878 |
| Mailing Fax Number | 4065524843 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2066PT | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 2066PT | MT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972910925 | Kathleen Kelley | Social Worker | 2813e Wyoming Dr, Sinking Spring, PA 19608-1618 | 2014-07-22 |
| 1568691756 | Kathleen Kelley | Nurse Practitioner | 15110 Boones Ferry Rd Ste 248, Lake Oswego, OR 97035-3498 | 2009-07-08 |
| 1477617447 | Kathleen Kelley | Counselor | 99 University Place, 4th Floor, New York, NY 10003-8971 | 2006-12-21 |
| 1649388513 | Kathleen M Kelley | Nurse Practitioner | 1952 Long Grove Dr, Suite 202, Mt Pleasant, SC 29464 | 2006-08-29 |
| 1265443014 | Kathleen Cranford Kelley | Nurse Practitioner | 1092 General George Patton Rd, Nashville, TN 37221-2599 | 2006-08-10 |
| 1871501353 | Kathleen Ann Kelley | Pharmacist | 2943 Seneca Street, West Seneca, NY 14224-1950 | 2006-08-03 |
| 1992760797 | Kathleen S. Kelley | Internal Medicine | 498 University Blvd, Suite F, Harrisonburg, VA 22801 | 2006-04-18 |
| 1952773525 | Kathleen Kelley | Physician Assistant | 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 | 2015-10-22 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1861882557 | Kathleen Helen Kelley | Dietitian, Registered | 15 Palomba Dr, 2, Enfield, CT 06082-3888 | 2015-02-02 |
| Street Address |
800 KENSINGTON AVE STE 100 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-5670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306969746 | Michael Fleming Crews | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2007-04-09 |
| 1487262549 | Samara Therapy Specialists Pllc | Durable Medical Equipment & Medical Supplies | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2020-07-15 |
| 1437789153 | Amanda Lynn Mattucci | Occupational Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2020-01-22 |
| 1487215059 | Rise Above Speech Therapy LLC | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-25 |
| 1417516196 | Josilyn Olson Ovenell | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-06 |
| 1992363139 | Douglas F Reeves | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-03 |
| 1396224531 | Andrew Iaderosa | Occupational Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2018-08-08 |
| 1689179350 | Cynthia Ross | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801 | 2018-03-26 |
| 1538692389 | Just 4 Kids Phsycal Therapy Lllc | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2017-04-08 |
| 1114364924 | Stephanie Iris Schlimgen | Speech-Language Pathologist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124186580 | Paula Rae Huston | Physical Therapist | 3100 Park St, Missoula, MT 59801 | 2006-12-05 |
| 1992363139 | Douglas F Reeves | Physical Therapist | 800 Kensington Ave Ste 100, Missoula, MT 59801-5670 | 2019-06-03 |
| 1275198996 | Peds Teletherapy | Physical Therapist | 6062 Lower Miller Creek Rd, Missoula, MT 59803-9625 | 2019-05-08 |
| 1265729156 | Paula R Huston | Physical Therapist | 3100 Park St, Missoula, MT 59801-8757 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982962171 | Jakke Lou Hall | Physical Therapist | 2900 12th Ave N Ste 20w, Billings, MT 59101-7518 | 2012-04-25 |
| 1174810634 | Linda Barge | Physical Therapist | 1276 N. 15th Ave., Suite 101, Bozeman, MT 59715-3289 | 2011-07-06 |
| 1871703744 | Karen Elaine Thornton | Physical Therapist | 31 Paradise Ln, Great Falls, MT 59404-6459 | 2007-05-22 |
| 1073641445 | Kristi Jo Fischer | Physical Therapist | 4300 Night Hawk Rd, Billings, MT 59106-9536 | 2007-02-28 |
| 1851427967 | Joyce E Defreest | Physical Therapist | 396 Dahyita Way, Victor, MT 59875-9560 | 2007-02-25 |
| 1336203223 | Julie Marie Robertson | Physical Therapist | 14 Mountain Park Ln, Kalispell, MT 59901-6329 | 2006-12-22 |
| 1972608040 | Wendy Sitter | Physical Therapist | 508 3rd Ave E, Polson, MT 59860-2411 | 2006-09-14 |
| 1811936578 | Holly Mcmullen Jarvis | Physical Therapist | 1123 Cherry Orchard Loop, Hamilton, MT 59840-9412 | 2006-06-06 |
| 1437761954 | Josephine Kautsky | Physical Therapist | 708 Broadwater Ave, Billings, MT 59101-2710 | 2020-08-17 |
| 1154985851 | Jasmin Williams | Physical Therapist | 2020 Gilkerson Dr, Bozeman, MT 59715-2558 | 2019-04-28 |
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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.