KELLY A LAST (NPI# 1689170839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689170839 |
| Entity Type | Individual |
| Full Name | KELLY A LAST |
| Practice Address |
209 Cherry St Milford CT 06460-3501 |
| Mailing Address |
62 Great Circle Rd West Haven CT 06516-7133 |
| Practice Telephone | 2038745437 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
10728 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184851867 | Kelly S Last | Dentist | 3092 Evergreen Pkwy, #100, Evergreen, CO 80439-7849 | 2009-06-19 |
| Street Address |
209 CHERRY ST |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700921228 | Jennifer Evangeliste | Occupational Therapist | 209 Cherry St, Milford, CT 06460-3501 | 2007-02-21 |
| 1912508417 | Allyson Charette | Occupational Therapist | 209 Cherry St, Milford, CT 06460-3501 | 2020-11-03 |
| 1720686504 | Kristen M Mourao | Occupational Therapist | 209 Cherry St, Milford, CT 06460-3501 | 2020-10-13 |
| 1205443496 | Katharine Ann Moore | Speech-Language Pathologist | 209 Cherry St, Milford, CT 06460-3501 | 2020-09-30 |
| 1871159590 | Jillian Brady | Occupational Therapist | 209 Cherry St, Milford, CT 06460-3501 | 2019-05-17 |
| 1013499524 | Kathryn M Rodrigue | Speech-Language Pathologist | 209 Cherry St, Milford, CT 06460-3501 | 2018-08-30 |
| 1174055354 | Ashley Kloss | Occupational Therapist | 209 Cherry St, Milford, CT 06460-3501 | 2017-03-28 |
| 1962950253 | Michelle Newman | Speech-Language Pathologist | 209 Cherry St, Milford, CT 06460-3501 | 2016-09-14 |
| 1588013338 | Kaitlynn Ferraro | Occupational Therapist | 209 Cherry St, Milford, CT 06460-3501 | 2016-06-11 |
| 1134588221 | Mary Lee Mcguire | Speech-Language Pathologist | 209 Cherry St, Milford, CT 06460-3501 | 2016-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276497 | Aimee Seiderer | Physical Medicine & Rehabilitation | 1 York St, New Haven, CT 06510-3221 | 2020-08-21 |
| 1356346779 | David Allen Feingold | Physical Medicine & Rehabilitation | 701 Cottage Grove Rd, Ste F120, Bloomfield, CT 06002-3095 | 2005-06-14 |
| 1982226619 | Ashley Palmer | Physical Medicine & Rehabilitation | 235 Main St, Danbury, CT 06810-6673 | 2020-05-15 |
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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.