STEPHEN PATRICK KELLY (NPI# 1457601098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457601098 |
| Entity Type | Individual |
| Full Name | STEPHEN PATRICK KELLY |
| Credential | COTA |
| Practice Address |
6080 Jericho Tpke Ste 200 Commack NY 11725-2808 |
| Mailing Address |
37 Westwood Ln Kings Park NY 11754-5122 |
| Practice Telephone | 6319797224 |
| Practice Fax Number | 6319797224 |
| Mailing Telephone | 6319797224 |
| Mailing Fax Number | 6319797224 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 7141919 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023343 | Stephen M Kelly | Specialist/Technologist | N8021 Lake Breeze Dr, Sherwood, WI 54169-9613 | 2020-02-03 |
| 1235781584 | Stephen Kelly | Student in an Organized Health Care Education/Training Program | 2114 E Pinnacle Terrace Way Apt 302, Cottonwood Heights, UT 84121-5086 | 2019-07-16 |
| 1558504258 | Stephen Michael Kelly | Emergency Medicine | 333 Grand St, Ed - Jersey City Medical Center, Jersey City, NJ 07302-4319 | 2009-04-09 |
| 1245367663 | Stephen Michael Kelly | Internal Medicine | 1501 River Pointe Dr Ste 240, Conroe, TX 77304-2861 | 2007-02-27 |
| 1770652349 | Stephen Michael Kelly | Optometrist | 851 Cherry Ave, Bayhill Center #25, San Bruno, CA 94066-2900 | 2006-11-07 |
| 1699722504 | Stephen Kelly | Physical Therapist | 80 Mill St, 1, Newton, NJ 07860-1411 | 2006-05-27 |
| 1689678518 | Stephen Kelly | Chiropractor | 403 S 3rd St, Youngwood, PA 15697-1154 | 2005-06-09 |
| 1457876310 | Stephen Michael Kelly | Registered Nurse | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2017-08-11 |
| 1023321304 | Stephen Michael Kelly | Nurse Anesthetist, Certified Registered | 2021 Perdido St, New Orleans, LA 70112-1352 | 2010-07-15 |
| 1205059169 | Stephen J Kelly | Ophthalmology | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2007-04-10 |
| Street Address |
6080 JERICHO TPKE STE 200 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369963 | Fabiola Sabbat | Behavioral Analyst | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2020-05-29 |
| 1508496498 | Sylvie Idoko | Assistant Behavior Analyst | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2020-01-21 |
| 1548809213 | John Q Reinhardt | Behavioral Analyst | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2019-12-30 |
| 1164067468 | Jessica Tanya Washington | Behavior Technician | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2019-11-10 |
| 1538702634 | Sandy Pierre-louis | Behavioral Analyst | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2019-10-21 |
| 1396386884 | Kamille Thompson | Counselor | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2019-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336405299 | Hand On Health Care | Mechanotherapist | 763 Larkfield Rd, Commack, NY 11725-3131 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707892 | Rachel Eve Richards | Mechanotherapist | 272 1st Ave Apt 10d, New York, NY 10009-1804 | 2020-07-16 |
| 1932659562 | Douglas Chu | Mechanotherapist | 364 Senator St, 1, Brooklyn, NY 11220-5311 | 2016-10-06 |
| 1518337385 | Elizabeth Pradieu | Mechanotherapist | 307 Martense St Apt C7, Brooklyn, NY 11226-4225 | 2015-10-05 |
| 1245612381 | Ralph Brande | Mechanotherapist | 330 W 45th St Apt 9g, New York, NY 10036-3863 | 2015-06-25 |
| 1609256593 | Allison Brates | Mechanotherapist | 71 Goldens Bridge Rd, Katonah, NY 10536-3437 | 2015-06-04 |
| 1811384035 | Lakisha George | Mechanotherapist | 5570 Main Street, Williamsville, NY 14221-3317 | 2015-04-26 |
| 1457768962 | Tara Laurenzi | Mechanotherapist | 752 Ashland Ave, Buffalo, NY 14222-1120 | 2014-07-16 |
| 1962833673 | Ivan Santos Garay | Mechanotherapist | 123 W 79th St Fl 4, New York, NY 10024-6480 | 2013-12-05 |
| 1366789281 | Donald Scott | Mechanotherapist | 3860 Robson Rd, Middleport, NY 14105-9734 | 2013-01-11 |
| 1295070175 | Lynn Duvall | Mechanotherapist | 343 Wittenberg Road, Bearsville, NY 12409 | 2012-12-04 |
| 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.