DR. JUSTIN KELLY (NPI# 1427520634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427520634 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN KELLY |
| Credential | DC |
| Practice Address |
8011 Maryland Avenue St. Louis MO 63105 |
| Mailing Address |
71 San Tana Ct Cedar Hill MO 63016 |
| Practice Telephone | 9896194839 |
| Mailing Telephone | 9896194839 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
111NS0005X | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720415060 | Justin Kelly | Specialist/Technologist | 9 Windstream Ct, Radford, VA 24141-3161 | 2013-10-01 |
| 1548737091 | Justin T Kelly | Physical Therapist | 2404 S Locust St Ste 5, Las Cruces, NM 88001-5789 | 2018-11-01 |
| 1477906915 | Justin Kelly | Colon & Rectal Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2016-07-20 |
| 1225491335 | Justin Kelly | Counselor | 7200 Desiard St, Monroe, LA 71203-3913 | 2016-04-05 |
| 1841676806 | Justin Kelly | Physical Therapy Assistant | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2015-07-31 |
| 1447406376 | Justin C Kelly | Counselor | 2020 Centre St, West Roxbury, MA 02132-3316 | 2008-08-12 |
| Street Address |
8011 MARYLAND AVENUE |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| 1528325529 | Lin Hao | Internal Medicine | 7571 Wellington Way Apt 2a, Clayton, MO 63105 | 2012-04-13 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021408 | Jacob Schmitz | Chiropractor | 380 Beckley Pl, Saint Charles, MO 63304-1029 | 2020-10-19 |
| 1912329897 | Matthew Mcfarland | Chiropractor | 311 Pine St, West Plains, MO 65775-2533 | 2014-01-13 |
| 1134460090 | Tara Adams LLC | Chiropractor | 429 Coronado Dr, Ballwin, MO 63011-2543 | 2013-03-01 |
| 1669716031 | Brentwood Spine Clinic LLC | Chiropractor | 2202 S Brentwood Blvd, Brentwood, MO 63144-1804 | 2012-11-24 |
| 1669770251 | Cindy Almon | Chiropractor | 9058 Watson Rd Ste C, Saint Louis, MO 63126-2242 | 2011-03-04 |
| 1518273911 | Performance Health Care LLC | Chiropractor | 3641 Reavis Barracks Rd, Saint Louis, MO 63125-2438 | 2010-08-23 |
| 1518284702 | Sturges Chiropractic Health Center PC | Chiropractor | 1575 Kisker Rd, Saint Charles, MO 63304-0608 | 2010-04-27 |
| 1851627566 | Pharr Chiropractic and Rehabilitation | Chiropractor | 2726 W Osage St, Pacific, MO 63069-3430 | 2009-10-30 |
| 1376782342 | Mcclain Chiropractic Inc | Chiropractor | 2640 N. Hwy. 67, Florissant, MO 63033-1438 | 2009-02-13 |
| 1851518302 | Vincent Page Crow | Chiropractor | 3713 S Hardy Ave, Independence, MO 64052-1148 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
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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.