MR. MARK KELLEY (NPI# 1598998858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598998858 |
| Entity Type | Individual |
| Full Name | MR. MARK KELLEY |
| Other Name | MR. MARK KELLEY |
| Credential | PTA |
| Practice Address |
394 N Suncoast Blvd Ste 40 Crystal River FL 34429-5466 |
| Mailing Address |
8455 S Suncoast Blvd Homosassa FL 34446-5066 |
| Practice Telephone | 3527956225 |
| Practice Fax Number | 3527956065 |
| Mailing Telephone | 3527956225 |
| Mailing Fax Number | 3527956065 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA21605 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID | 106898 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348194 | Mark A. Kelley | Internal Medicine | 6 Kent Ave, Marshfield, MA 02050 | 2006-12-01 |
| 1013313154 | Mark Allen Kelley | Registered Nurse | 1818 Albion St, Nashville, TN 37208-2918 | 2014-11-18 |
| 1003153750 | Mark M Kelley | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2013-01-14 |
| 1760645865 | Mark Kelley | Acupuncturist | 209 E Swallow Rd, Fort Collins, CO 80525-2539 | 2008-07-08 |
| 1902949878 | Mark Andrew Kelley | Marriage & Family Therapist | 405 Westwood Ave, High Point, NC 27262-4325 | 2007-02-14 |
| 1174622500 | Mark C Kelley | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-09-22 |
| 1851303978 | Mark A Kelley | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2006-08-13 |
| 1316980113 | Mark Alan Kelley | Psychiatry & Neurology | 1705 E 19th St, Suite 512, Tulsa, OK 74104-5405 | 2006-06-13 |
| 1831130996 | Mark Donald Kelley | Nurse Practitioner | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-06-09 |
| 1427004704 | Mark C Kelley | Dermatology | 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 | 2006-05-26 |
| Street Address |
394 N SUNCOAST BLVD STE 40 |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34429-5466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681213 | Sangita Patel Lewis | Occupational Therapist | 394 N Suncoast Blvd, Ste 40, Crystal River, FL 34429-5466 | 2005-06-30 |
| 1437452042 | Denyse Ann Camire | Physical Therapy Assistant | 394 N Suncoast Blvd, Crystal River, FL 34429-5466 | 2010-12-21 |
| 1730404708 | James Michael Rooney | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2010-04-02 |
| 1174845770 | Tammy K Wallen | Physical Therapist | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2010-02-23 |
| 1174781983 | Lisa M Back | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2008-05-29 |
| 1255523890 | Sally Abbott Cottrell Iv | Physical Therapist | 394 N Suncoast Blvd, Crystal River, FL 34429-5466 | 2007-08-17 |
| 1063545010 | Lauren Arnold | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2007-03-13 |
| 1093848053 | David Zirin | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2007-03-13 |
| 1679606644 | Andrea Menster | Physical Therapy Assistant | 394 N Suncoast Blvd, Crystal River, FL 34429-5466 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324386 | Sydney M Mergler | Specialist/Technologist | 315 Ne 10th St, Crystal River, FL 34429 | 2020-07-23 |
| 1497255814 | Plantation Medical Care, Pa | Clinic/Center | 9030 W Fort Island Trl Ste 11b, Crystal River, FL 34429 | 2018-02-13 |
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1982011706 | Bambi Ann Heyer | Nurse Practitioner | 659 Ne Hwy 19 Unit 1, Crystal River, FL 34429 | 2014-07-14 |
| 1982977120 | Life Soulutions | Community/Behavioral Health | 427 Ne 3rd St Ste C, Crystal River, FL 34429 | 2012-02-20 |
| 1073844296 | Richard C Swanson,dmd Pa | Clinic/Center | 1815 Se Hwy 19, Crystal River, FL 34429 | 2010-01-28 |
| 1710116520 | Albert M. Boholst | Surgery | 730 S.e. 5th Terrace, Crystal River, FL 34429 | 2009-07-14 |
| 1033353453 | Claire Annette Wirt | Mechanotherapist | 1925 Se Hwy 19, Crystal River, FL 34429 | 2009-04-29 |
| 1811134067 | John D. Hosner, D.d.s., P.a. | Dentist | 1118 N. Suncoast Blvd., Crystal River, FL 34429 | 2009-01-09 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| Find all providers in zip 34429 | ||||
| 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 |
|---|---|---|---|---|
| 1235479403 | Jericka Sanders | Physical Therapy Assistant | 10105 W Ohio Dr, Crystal River, FL 34428 | 2013-02-25 |
| 1003050600 | Maria Antonetti | Physical Therapy Assistant | 394 N Suncoast Blvd Ste 40, Crystal River, FL 34429-5466 | 2009-04-27 |
| 1679027130 | Christian Eduardo Lara | Physical Therapy Assistant | 700 Se 8th Ave, Crystal River, FL 34429-4855 | 2016-08-12 |
| 1679930598 | Raymond Shepherd | Physical Therapy Assistant | 1560 N Meadowcrest Blvd, Crystal River, FL 34429-5757 | 2016-01-22 |
| 1730546789 | Paula Page-hough | Physical Therapy Assistant | 1560 N Meadowcrest Blvd, Crystal River, FL 34429-5757 | 2016-01-21 |
| 1437452042 | Denyse Ann Camire | Physical Therapy Assistant | 394 N Suncoast Blvd, Crystal River, FL 34429-5466 | 2010-12-21 |
| 1730404708 | James Michael Rooney | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2010-04-02 |
| 1174781983 | Lisa M Back | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2008-05-29 |
| 1063545010 | Lauren Arnold | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2007-03-13 |
| 1093848053 | David Zirin | Physical Therapy Assistant | 394 N Suncoast Blvd, Suite 40, Crystal River, FL 34429-5466 | 2007-03-13 |
| Find all providers in CRYSTAL RIVER | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
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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.