KELLY MARIE WOOD (NPI# 1750640801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750640801 |
| Entity Type | Individual |
| Full Name | KELLY MARIE WOOD |
| Credential | PTA |
| Practice Address |
933 3 Mile Rd Nw Ste 110 Grand Rapids MI 49544-1673 |
| Mailing Address |
3630 Cobblefield Cir Se Apt 10 Caledonia MI 49316-7672 |
| Practice Telephone | 6167852619 |
| Practice Fax Number | 6167852623 |
| Mailing Telephone | 2315572189 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502003518 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231916 | Kelly Wood | Social Worker | 305 Wilson Ave, Glassboro, NJ 08028-8350 | 2020-03-27 |
| 1558744854 | Kelly Wood | Case Manager/Care Coordinator | 1138 6th Ave, Lake Odessa, MI 48849-1059 | 2015-07-04 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1821245747 | Kelly L Wood | Chiropractor | 518 W Platte Ave, Colorado Springs, CO 80905-1334 | 2008-08-21 |
| 1619193869 | Kelly Ann Wood | Family Medicine | 521 N Borders Ave Ste C, Marissa Medical Clinic, Marissa, IL 62257-1195 | 2007-04-17 |
| 1710043492 | Kelly Natasha Wood | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214 | 2006-12-28 |
| 1235207929 | Kelly Sue Wood | Occupational Therapy Assistant | 1942 Old Dekalb Rd, Canton, NY 13617 | 2006-12-01 |
| 1851478069 | Kelly Copps Wood | Dentist | 7679 N Longview Dr, Glendale, WI 53209-1863 | 2006-11-01 |
| 1649703109 | Kelly Cole Wood | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2017-04-11 |
| 1952706723 | Kelly Wood | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-10-23 |
| Street Address |
933 3 MILE RD NW STE 110 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821614678 | Brenden Lee Carey | Dentist | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2020-06-17 |
| 1861058117 | Linda Fleetwood | Dentist | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2019-05-13 |
| 1558777672 | Caroline Packard | Physical Therapist | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2014-07-09 |
| 1285996819 | Sarah Maria De Zwaan | Dentist | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| 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 |
|---|---|---|---|---|
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1447814082 | Nikunjkumar Prakashbhai Patel | Physical Therapy Assistant | 3370 Plainfield Ave Ne, Grand Rapids, MI 49525-2721 | 2019-04-29 |
| 1881195774 | Dawn Marie Kregel | Physical Therapy Assistant | 2589 44th St Se, Grand Rapids, MI 49512-3877 | 2018-02-26 |
| 1154763431 | Anna M Bennett | Physical Therapy Assistant | 473 Bayberry Pointe Dr Nw Apt A, Grand Rapids, MI 49534-8000 | 2013-07-26 |
| 1447557186 | Sarah B Trent | Physical Therapy Assistant | 4260 Nature Trail Dr Se Apt 2a, Grand Rapids, MI 49512-3848 | 2011-02-15 |
| 1023270295 | Kevin Jon Eickhoff | Physical Therapy Assistant | 1140 Monroe Ave Nw Ste 150, Grand Rapids, MI 49503-1055 | 2008-06-30 |
| 1386803070 | Jeffrey Zagaroli | Physical Therapy Assistant | 2600 Pineview Dr Ne, Grand Rapids, MI 49525-6706 | 2008-06-06 |
| 1356558324 | Judy Lynn Wallis | Physical Therapy Assistant | Marywood Health Center, 111 Lakeside Drive Ne, Grand Rapids, MI 49503 | 2007-05-17 |
| 1164533956 | Sheryl Ann Pylman | Physical Therapy Assistant | 2591 44th St Se, #101, Grand Rapids, MI 49512-9094 | 2006-08-31 |
| 1134120959 | Roseann Doney | Physical Therapy Assistant | 751 Kenmoor Ave Se, Suite H, Grand Rapids, MI 49546-2391 | 2005-08-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
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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.