MR. KYLE KELLY (NPI# 1417339086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417339086 |
| Entity Type | Individual |
| Full Name | MR. KYLE KELLY |
| Credential | PTA |
| Practice Address |
12550 S Ridgeland Ave Palos Heights IL 60463-1859 |
| Mailing Address |
19647 Therese Ln Mokena IL 60448-1752 |
| Practice Telephone | 7085979300 |
| Mailing Telephone | 8479097803 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160007018 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932250636 | Kyle B Kelly | Case Manager/Care Coordinator | 4371 E.72nd St., Commerce City, CO 80022 | 2007-01-16 |
| 1326687120 | Kyle J Kelly | Nurse Practitioner | 360 S Lola Ln, Pahrump, NV 89048-0884 | 2019-12-27 |
| 1720581820 | Kyle Kelly | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-5000 | 2018-03-14 |
| 1316369796 | Kyle Kelly | Pharmacist | 2555 W Apache Trl, Apache Junction, AZ 85120-5204 | 2014-01-20 |
| 1023284213 | Kyle Anderson Kelly | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2008-05-07 |
| 1144221672 | Kyle W Kelly | Optometrist | 2301 10th Ave, Leavenworth, KS 66048-4214 | 2005-08-09 |
| Street Address |
12550 S RIDGELAND AVE |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871619940 | Ridgeland Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2007-03-21 |
| 1811387822 | Carrie Rooy | Occupational Therapy Assistant | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2015-01-28 |
| 1679970115 | Staci Schiefelbein | Physical Therapy Assistant | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2014-11-27 |
| 1750792396 | Miguel Musngi | Physical Therapy Assistant | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2014-05-16 |
| 1053753020 | Ann Marie Chesla | Speech-Language Pathologist | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2013-07-19 |
| 1265709224 | Gisselle Guingon | Physical Therapist | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2011-11-18 |
| 1255633012 | Park Villa Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2010-11-30 |
| 1962668921 | Sue E Burrows | Specialist | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1679970115 | Staci Schiefelbein | Physical Therapy Assistant | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2014-11-27 |
| 1750792396 | Miguel Musngi | Physical Therapy Assistant | 12550 S Ridgeland Ave, Palos Heights, IL 60463-1859 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407562 | Cassie Santana | Physical Therapy Assistant | 2220 Founders Dr, Northbrook, IL 60062-5478 | 2020-11-02 |
| 1194325852 | George Oppong | Physical Therapy Assistant | 2555 W Eastwood Ave Apt 1, Chicago, IL 60625-2969 | 2020-10-30 |
| 1932708963 | Beth Anne Krueger | Physical Therapy Assistant | 16w301 91st St, Burr Ridge, IL 60527-6368 | 2020-10-21 |
| 1699374884 | Megan E Strnad | Physical Therapy Assistant | 1329 N Russell Ave, Aurora, IL 60506-1433 | 2020-10-20 |
| 1346849734 | Amy Allen | Physical Therapy Assistant | 26613 Silverleaf Dr, Plainfield, IL 60585-2809 | 2020-10-18 |
| 1023615390 | Natalie Elliott | Physical Therapy Assistant | 622 University St, Carlinville, IL 62626-1459 | 2020-10-08 |
| 1285231167 | Georgia Rinda | Physical Therapy Assistant | 406 Front St # 110, Mchenry, IL 60050-5593 | 2020-10-05 |
| 1003428806 | Staci A Burris | Physical Therapy Assistant | 900 Centennial Dr # 30, East Peoria, IL 61611-4928 | 2020-08-21 |
| 1669083879 | Janette Donna Waksmanski | Physical Therapy Assistant | 7125 Sholer Ave, Bridgeview, IL 60455-1062 | 2020-08-11 |
| 1952912230 | Josh M Pandola | Physical Therapy Assistant | 415 W Golf Rd Ste 68, Arlington Heights, IL 60005-3923 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.