MS. KELLY HENDERSON (NPI# 1477822047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477822047 |
| Entity Type | Individual |
| Full Name | MS. KELLY HENDERSON |
| Credential | PTA |
| Practice Address |
11710 Rosemount Dr Fort Myers FL 33913-8331 |
| Practice Telephone | 2392251177 |
| Mailing Telephone | 2392251177 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA1137 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437553518 | Kelly Lynn Henderson | Registered Nurse | 5484 55th St Apt K, San Diego, CA 92115-1250 | 2014-10-17 |
| 1598374233 | Kelly Henderson | Registered Nurse | 1719 Catherine Ct, Auburn, AL 36830-5789 | 2020-07-29 |
| 1154337517 | Kelly G. Henderson | Physician Assistant | 11725 W 112th St, Overland Park, KS 66210-2761 | 2006-07-31 |
| Street Address |
11710 ROSEMOUNT DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913-8331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079368 | Fq0014 | Clinic/Center | 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 | 2020-06-26 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| Find all providers in zip 33913 | ||||
| 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 |
|---|---|---|---|---|
| 1225645203 | Christian Ross Weidel | Physical Therapy Assistant | 3250 Winkler Ave Fl 33916, Fort Myers, FL 33916-9414 | 2020-09-24 |
| 1922638253 | Jeniffer Gillespie | Physical Therapy Assistant | 17512 Cherry Ridge Ln, Fort Myers, FL 33967-5132 | 2020-01-26 |
| 1992285266 | Rebecca Stany | Physical Therapy Assistant | 3250 Winkler Ave, Fort Myers, FL 33916-9414 | 2018-08-16 |
| 1265973200 | Brittany Moody | Physical Therapy Assistant | 14391 Metropolis Ave # 101-102, Fort Myers, FL 33912-4423 | 2017-03-09 |
| 1407398514 | Amanda Hopkins | Physical Therapy Assistant | 1907 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2264 | 2016-11-07 |
| 1487909958 | Jalonda Monique Hornes | Physical Therapy Assistant | 2149 Towles St, Fort Myers, FL 33916-4748 | 2012-07-19 |
| 1851661185 | Jacquelyn Ann Russell | Physical Therapy Assistant | 3728 Luverne St, Fort Myers, FL 33901-8426 | 2012-01-03 |
| 1154618346 | Pamela Renee Cherrington | Physical Therapy Assistant | 6811 Palisades Park Ct, Fort Myers, FL 33912-7130 | 2011-07-07 |
| 1841432218 | Debra Ann Walden | Physical Therapy Assistant | 15160 N Pebble Ln, Fort Myers, FL 33912-2335 | 2009-04-01 |
| 1528205663 | Heather J Koenig | Physical Therapy Assistant | 3371 New South Province Blvd Apt 4, Fort Myers, FL 33907-5316 | 2009-01-12 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
Please comment or provide details below to improve the information on MS. KELLY HENDERSON.
| 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.