DOUGLAS FARRELL KELLEY (NPI# 1427303189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427303189 |
| Entity Type | Individual |
| Full Name | DOUGLAS FARRELL KELLEY |
| Credential | DPT |
| Practice Address |
2519 S Lakeline Blvd Suite 100 Cedar Park TX 78613-2964 |
| Practice Telephone | 5123316200 |
| Practice Fax Number | 5123314312 |
| Mailing Telephone | 5123316200 |
| Mailing Fax Number | 5123314312 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 3111385 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE TX TEMP | 3111385 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033376090 | Douglas Edward Kelley | Optometrist | 540 E Grand Ave, Beloit, WI 53511-6314 | 2008-05-19 |
| 1285654509 | Douglas M Kelley | Anesthesiology | 3508 22nd Pl, Lubbock, TX 79410-1316 | 2006-07-20 |
| 1962498345 | Douglas James Kelley | Optometrist | 308 S New York Rd Unit D, Galloway, NJ 08205-9650 | 2005-09-21 |
| 1306108428 | Douglas John Kelley | Emergency Medicine | 5450 Fort St, Trenton, MI 48183-4601 | 2012-06-14 |
| Street Address |
2519 S LAKELINE BLVD SUITE 100 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164468518 | Karen M Hoffman | Occupational Therapist | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2006-06-22 |
| 1245778463 | Justin Nykiel | Physical Therapist | 2519 S Lakeline Blvd, Ste 100, Cedar Park, TX 78613-2964 | 2017-02-08 |
| 1588030209 | Adam Smithers | Physical Therapist | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2015-08-17 |
| 1538585476 | Timothy Ho-yen Man | Physical Therapist | 2519 S Lakeline Blvd, Cedar Park, TX 78613-2964 | 2014-03-17 |
| 1477807527 | Amy Elaine Johnson | Occupational Therapist | 2519 S Lakeline Blvd, Cedar Park, TX 78613-2964 | 2012-10-27 |
| 1316297807 | Jeannie E Ritzheimer | Physical Therapist | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2012-09-12 |
| 1437404191 | Kelly Ann Duke | Physical Therapist | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2012-07-18 |
| 1851675581 | Mary Faith Grimberg | Physical Therapist | 2519 S Lakeline Blvd, Suite 100, Cedar Park, TX 78613-2964 | 2011-09-29 |
| 1912298324 | Americus Healthcare, Dme | Durable Medical Equipment & Medical Supplies | 2519 S Lakeline Blvd, Suite 101, Cedar Park, TX 78613-2964 | 2011-04-20 |
| 1538467188 | Americus Cedar Park Sleep Center, Lp | Clinic/Center | 2519 S Lakeline Blvd, Cedar Park, TX 78613-2964 | 2011-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| 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 |
|---|---|---|---|---|
| 1730799644 | Laura Ann Midura | Physical Therapist | 2800 S Lakeline Blvd Apt 613, Cedar Park, TX 78613-1680 | 2020-08-05 |
| 1851920532 | Ariel Day | Physical Therapist | 1320 Arrow Point Dr, Cedar Park, TX 78613-2167 | 2020-04-05 |
| 1043788854 | Suchiben Gajjar | Physical Therapist | 4124 Rainy Creek Ln, Cedar Park, TX 78613-3174 | 2018-11-09 |
| 1740762988 | Megan Nicole Smith | Physical Therapist | 12617 Ridgeline Blvd, Cedar Park, TX 78613-1606 | 2018-09-04 |
| 1437631793 | Jarrod Spencer | Physical Therapist | 109 Cypress Creek Rd Ste B1, Cedar Park, TX 78613-4477 | 2018-09-04 |
| 1174019129 | Robert Borromeo | Physical Therapist | 12617 Ridgeline Blvd Bldg C105, Cedar Park, TX 78613-1606 | 2018-07-02 |
| 1255748786 | Laila Hasham | Physical Therapist | 2015 Clegg Dr, Cedar Park, TX 78613-4036 | 2014-07-16 |
| 1033453550 | Sheldon Sonnenberg | Physical Therapist | 2000 Windy Ter Bldg 10, Cedar Park, TX 78613-4287 | 2012-11-21 |
| 1265725576 | Todd Anthony Curtis | Physical Therapist | 500 W Whitestone Blvd Ste 101, Cedar Park, TX 78613-2271 | 2011-05-18 |
| 1003130345 | Jennifer Lynn Mott | Physical Therapist | 805 Zappa Dr, Cedar Park, TX 78613-1642 | 2010-03-16 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.