MR. NICHOLAS KELLY (NPI# 1336693647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336693647 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS KELLY |
| Credential | PT |
| Practice Address |
1014 Forsyth St Macon GA 31201-2051 |
| Practice Telephone | 4786338100 |
| Practice Fax Number | 4786336268 |
| Mailing Telephone | 4786338100 |
| Mailing Fax Number | 4786336268 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447915 | Nicholas Kelly | Student in an Organized Health Care Education/Training Program | 1089 Manor Ln, Bay Shore, NY 11706-6224 | 2019-10-01 |
| 1326591264 | Nicholas Kelly | Physical Therapist | 202 E Spokane Falls Blvd Ste 100, Spokane, WA 99202 | 2016-07-27 |
| 1366081945 | Nicholas S Kelly | Pharmacist | 1250 N Port Washington Rd, Grafton, WI 53024-9315 | 2019-12-31 |
| 1164955183 | Nicholas Joseph Kelly | Student in an Organized Health Care Education/Training Program | 777 Bannock St # Mc0108, Denver Health Medical Center, Denver, CO 80204-4507 | 2017-04-06 |
| 1447656574 | Nicholas Kelly | Dietitian, Registered | 2049 E 100th St, Cleveland, OH 44195-0001 | 2014-11-18 |
| 1083876890 | Nicholas A. Kelly | Pediatrics | 4331 Highway 39 N, Meridian, MS 39301-1007 | 2008-07-02 |
| Street Address |
1014 FORSYTH ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124094065 | Elizabeth Young | Pediatrics | 1014 Forsyth St, Macon, GA 31201-2051 | 2006-02-28 |
| 1326517269 | Taylor C Williams | Occupational Therapist | 1014 Forsyth St, Macon, GA 31201-2051 | 2018-11-21 |
| 1215416128 | Aina Bibbs | Behavior Technician | 1014 Forsyth St, Macon, GA 31201-2051 | 2018-08-10 |
| 1699269068 | Katelyn Bollhorst Zhang | Speech-Language Pathologist | 1014 Forsyth St, Macon, GA 31201-2051 | 2018-06-19 |
| 1699264937 | Macy Hollingsworth | Occupational Therapist | 1014 Forsyth St, Macon, GA 31201-2051 | 2018-05-02 |
| 1255838629 | Christina Johnson | Behavior Technician | 1014 Forsyth St, Macon, GA 31201-2051 | 2018-04-11 |
| 1780185728 | Payton Greeson | Behavior Technician | 1014 Forsyth St, Macon, GA 31201-2051 | 2018-02-26 |
| 1689115073 | Josey Goldner Thoreson | Occupational Therapist | 1014 Forsyth St, Macon, GA 31201-2051 | 2017-03-17 |
| 1508303033 | Esther Curfman | Behavioral Analyst | 1014 Forsyth St, Macon, GA 31201-2051 | 2017-01-23 |
| 1497201032 | Kyle Miller | Physician Assistant | 1014 Forsyth St, Ste 100, Macon, GA 31201-2051 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437250263 | Mary Katherine Devoe | Physical Therapist | 201 2nd St Ste 1100, Macon, GA 31201-6328 | 2006-09-26 |
| 1922263045 | Virginia Shealy Brooks | Physical Therapist | 4116 Arkwright Rd, Macon, GA 31210-1707 | 2008-07-29 |
| 1265585095 | Davis of Moran Inc | Physical Therapist | 7440 Thomaston Rd, Macon, GA 31220-5160 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
| 1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
| 1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
| 1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
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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.