KRISTIN NICOLE KELLIM (NPI# 1306010913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306010913 |
| Entity Type | Individual |
| Full Name | KRISTIN NICOLE KELLIM |
| Other Name | KRISTIN NICOLE WALLACE |
| Credential | M.P.T. |
| Practice Address |
1138 Vaughn Rd Wood River IL 62095 |
| Mailing Address |
15 Apex Dr Highland IL 62249-1282 |
| Practice Telephone | 6182591100 |
| Practice Fax Number | 6182591101 |
| Mailing Telephone | 6186510444 |
| Mailing Fax Number | 6186545439 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2013-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2008010372 | MO | Other Service Providers |
| Y | 225100000X | Physical Therapist | 070.017045 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1138 VAUGHN RD |
| City | WOOD RIVER |
| State | IL |
| Zip Code | 62095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841522935 | Trisha Middleton | Physical Therapist | 1138 Vaughn Rd, Wood River, IL 62095-1848 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467698068 | Jkh Management, LLC | Clinic/Center | 1138 Vaughn Road, Wood River, IL 62095 | 2009-01-02 |
| 1972762367 | Ronald Weems Jr P.C. | Dentist | 1915 Vaughn Road, Wood River, IL 62095 | 2008-06-02 |
| 1124240569 | Denise Marie Jacquin | Optometrist | 650 Wesley Drive, Wood River Centre, Wood River, IL 62095 | 2007-05-03 |
| 1982734414 | Kathleen Crockett | Physical Therapist | 400 S Main, Wood River, IL 62095 | 2007-03-06 |
| 1336200286 | Johan C Dinkelmann | Chiropractor | 21 E Acton Ave, Wood River, IL 62095 | 2006-12-13 |
| 1760418099 | Hagopian Shoes, LLC | Prosthetic/Orthotic Supplier | 48 E Ferguson Ave, Wood River, IL 62095 | 2006-06-26 |
| 1063470524 | Jerseyville Pain Management Center, S.c. | Chiropractor | 1702 Vaughn Rd, Wood River, IL 62095 | 2006-05-03 |
| 1831354257 | Benjamin Hite | Dentist | 1915 Vaughn Road, Wood River, IL 62095 | 2008-07-24 |
| 1679797294 | Rhonda Nemsky | Developmental Therapist | 400 S Main, Wood River, IL 62095 | 2007-04-13 |
| 1770613218 | Frederic Golden | Psychologist | 400 S Main, Wood River, IL 62095 | 2007-03-06 |
| Find all providers in zip 62095 | ||||
| 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 |
|---|---|---|---|---|
| 1982734414 | Kathleen Crockett | Physical Therapist | 400 S Main, Wood River, IL 62095 | 2007-03-06 |
| 1841522935 | Trisha Middleton | Physical Therapist | 1138 Vaughn Rd, Wood River, IL 62095-1848 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1710588264 | Be Well Physical Therapy and Wellness Inc. | Physical Therapist | 12509 W 159th St, Homer Glen, IL 60491-7845 | 2020-11-02 |
| 1346841871 | Anneisha Elerby | Physical Therapist | 305 W Indian Trl Ste B, Aurora, IL 60506-2473 | 2020-11-02 |
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1518567445 | Melissa Z Septon | Physical Therapist | 975 Auburn Ave, Highland Park, IL 60035-1119 | 2020-10-29 |
| 1841890787 | Eskoff Physical Therapy, LLC | Physical Therapist | 10545 Royal Porthcawl Dr, Naperville, IL 60564-8113 | 2020-10-29 |
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1720687585 | Cassandra Coleman | Physical Therapist | 13731 Quail Run Ct, Homer Glen, IL 60491-9448 | 2020-10-22 |
| 1528667698 | Saptherapy Physical Rehab & Associates | Physical Therapist | 111 N Wabash Ave Ste 1300, Chicago, IL 60602-2010 | 2020-10-20 |
| 1841899218 | Diana Ahtziri Trujillo Torres | Physical Therapist | 3934 W 68th St, Chicago, IL 60629-4106 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
| City | WOOD RIVER |
| Zip Code | 62095 |
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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.