MRS. KELLY LYNN KELLEY (NPI# 1811407430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811407430 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LYNN KELLEY |
| Other Name | MS. KELLY LYNN WHITNEY |
| Credential | PT |
| Practice Address |
41088 Bayou Segnette Ave Gonzales LA 70737-8590 |
| Practice Telephone | 5043309373 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 07099 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | PT LICENSE | 07099 | 01 |
| IL | NATIONAL ALLIANCE OF WOUND CARE AND OSTOMY (WCC) | 12130928 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245696566 | Kelly Joy Kelley | Behavioral Analyst | 307 Queen Anne Rd, Harwich, MA 02645-2501 | 2016-01-04 |
| 1972882504 | Kelly Leann Kelley | Nurse Practitioner | 912 W College St, Pulaski, TN 38478-3630 | 2011-08-13 |
| 1518165307 | Kelly Rose Kelley | Physical Therapy Assistant | 707 E Prospect Ave, Norfolk, NE 68701-4388 | 2007-07-03 |
| 1194290825 | Kelly Kelley | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-10-09 |
| 1043723059 | Kelly Kelley I | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-11-13 |
| 1730544933 | Kelly Kelley | Occupational Therapist | 800 Saguaro Trl, San Juan College Ota Program, Farmington, NM 87401-9632 | 2015-12-15 |
| 1619362134 | Kelly Kelley | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653 | 2015-04-01 |
| 1396091203 | Kelly Winters Kelley | Registered Nurse | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2012-07-28 |
| 1487876264 | Kelly D Kelley | Hearing Instrument Specialist | 3320 Pecan Valley Dr, Suite E., Temple, TX 76502-1569 | 2007-05-03 |
| 1811060924 | Kelly Young Kelley | Social Worker | 1300 N 12th St, Phoenix, AZ 85006-2848 | 2006-11-16 |
| Street Address |
41088 BAYOU SEGNETTE AVE |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-8590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1598246753 | Beau Vincent Arceneaux | Physical Therapist | 211 E Worthy St Bldg Iv, Gonzales, LA 70737-4232 | 2018-08-27 |
| 1215415393 | Parissa L Majlesein | Physical Therapist | 39238 Majestic Wood Ave, Gonzales, LA 70737-6556 | 2018-08-01 |
| 1518311604 | Flexcare Management Group, Inc. | Physical Therapist | 406 Oleana Dr, Gonzales, LA 70737-3361 | 2016-04-15 |
| 1225402738 | River Parish Physical Therapy and Wellness LLC | Physical Therapist | 14210 Airline Hwy, Suite E, Gonzales, LA 70737-6611 | 2015-11-20 |
| 1366743841 | Excell Rehabilitation Services,inc. | Physical Therapist | 322 E Worthy St, Gonzales, LA 70737-4235 | 2010-11-15 |
| 1710288352 | Tina Ann Labatut | Physical Therapist | 7183 Donaldson Dr, Gonzales, LA 70737-8132 | 2010-11-13 |
| 1831414325 | Anthony J Green Sr. | Physical Therapist | 108 E Sanders St, Gonzales, LA 70737-3144 | 2010-03-29 |
| 1457587487 | Shannon L Juneau | Physical Therapist | 11131 N Terrell Ave, Gonzales, LA 70737-7876 | 2009-06-04 |
| 1518193655 | Courtney Lynn Hope-bourgeois | Physical Therapist | 1227 E Highway 30, Gonzales, LA 70737-4761 | 2009-06-03 |
| 1710112404 | Kelein Latrice Oubre | Physical Therapist | 41176 Lakeway Cove Ave, Gonzales, LA 70737-8949 | 2009-05-25 |
| Find all providers in GONZALES | ||||
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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.