KELLY BURCH ABRAJANO (NPI# 1659505865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659505865 |
Entity Type | Individual |
Full Name | KELLY BURCH ABRAJANO |
Credential | P.T. |
Practice Address |
6301 Gaston Ave # 750 Dallas TX 75214-3922 |
Mailing Address |
2646 Evinrude Dr Grapevine TX 76051-2512 |
Practice Telephone | 2142955374 |
Practice Fax Number | 2142955374 |
Mailing Telephone | 3106194826 |
Enumeration Date | 2009-05-04 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1122620 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 24975 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
18512 Hawthorne Blvd, Torrance, CA 905044515 | 3103718555 | 3103714488 |
Street Address |
6301 GASTON AVE # 750 |
City | DALLAS |
State | TX |
Zip Code | 75214-3922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
1093182057 | Callie Jack | Audiologist-Hearing Aid Fitter | 6162 E. Mockingbird Lane, Suite 100, Dallas, TX 75214 | 2015-08-26 |
1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
Find all providers in zip 75214 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356889729 | Marie Mazzola Solomon | Physical Therapist | 7732 Worthing St, Dallas, TX 75252-6448 | 2017-02-06 |
1760751291 | Loving Leaps, Inc | Physical Therapist | 4830 Cedar Springs Rd Apt 34, Dallas, TX 75219-1365 | 2011-12-29 |
1144488222 | Dallas Occupational Therapy Services for Kids, Pllc | Physical Therapist | 13720 Midway Rd, Suite 107, Dallas, TX 75244-4313 | 2008-05-27 |
1467571117 | Yeisha Celeste Culp | Physical Therapist | 2535 Lone Star Drive, Dallas, TX 75212 | 2007-03-27 |
1730796137 | Carissa Stoddard | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-29 |
1821602236 | Emily Eveler | Physical Therapist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2020-09-02 |
1023626892 | Kylie Mclaughlin | Physical Therapist | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-07-17 |
1568080927 | Rebecka Marie Tobin | Physical Therapist | 13720 Midway Rd Ste 107, Dallas, TX 75244-4313 | 2020-07-10 |
1043841810 | Ricki Donnell Graham | Physical Therapist | 6301 Gaston Ave Ste 750, Dallas, TX 75214-6339 | 2020-01-30 |
1649832296 | Kayla Clem | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
Find all providers in DALLAS |
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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.