JUSTIN KELLY (NPI# 1841676806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841676806 |
| Entity Type | Individual |
| Full Name | JUSTIN KELLY |
| Credential | PTA |
| Practice Address |
8434 Corcoran Rd Willow Springs IL 60480-1666 |
| Practice Telephone | 7084670657 |
| Practice Fax Number | 7083305046 |
| Mailing Telephone | 7084670657 |
| Mailing Fax Number | 7083305046 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 160.007134 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720415060 | Justin Kelly | Specialist/Technologist | 9 Windstream Ct, Radford, VA 24141-3161 | 2013-10-01 |
| 1548737091 | Justin T Kelly | Physical Therapist | 2404 S Locust St Ste 5, Las Cruces, NM 88001-5789 | 2018-11-01 |
| 1477906915 | Justin Kelly | Colon & Rectal Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2016-07-20 |
| 1225491335 | Justin Kelly | Counselor | 7200 Desiard St, Monroe, LA 71203-3913 | 2016-04-05 |
| 1447406376 | Justin C Kelly | Counselor | 2020 Centre St, West Roxbury, MA 02132-3316 | 2008-08-12 |
| Street Address |
8434 CORCORAN RD |
| City | WILLOW SPRINGS |
| State | IL |
| Zip Code | 60480-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891978482 | O'connor Foundation | Rehabilitation Practitioner | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2007-12-06 |
| 1700390903 | James Borre | Physical Therapy Assistant | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2017-11-27 |
| 1508106733 | Amanda Therese Sikora | Physical Therapist | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2013-02-25 |
| 1720376627 | Jessica Lea Schroeder | Physical Therapist | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2011-07-13 |
| 1407158009 | Eileen Mary Johnson | Physical Therapist | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2010-12-02 |
| 1114255957 | Active Medical Supply Co. | Durable Medical Equipment & Medical Supplies | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2009-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091666 | Macayla Lenzi | Physical Therapy Assistant | 8434 Cocoran Road, Willow Springs, IL 60480 | 2017-06-01 |
| 1083997662 | Soohyun Jessica Chon | Pharmacist | 131 Patrick Ave, Willow Springs, IL 60480 | 2011-09-21 |
| 1851684625 | Stephen M Wright | Counselor | 8615 Liberty Grove Dr., Willow Springs, IL 60480 | 2011-05-26 |
| 1942509526 | Mainstreet Accessibility Inc | Durable Medical Equipment & Medical Supplies | 8695 South Archer Ave, Unit 7, Willow Springs, IL 60480 | 2011-03-22 |
| 1659743078 | Rayna Murphy | Student in an Organized Health Care Education/Training Program | 8624 Dory Ln, Willow Springs, IL 60480-1025 | 2015-10-25 |
| 1528254331 | Thomas Elliot Krupa | Dentist | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2007-09-15 |
| 1407253909 | Agnieszka Rabrich | Chiropractor | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2014-11-26 |
| 1538494703 | Krupa Dental Care, P.C. | Clinic/Center | 8240 Wolf Rd, Willow Springs, IL 60480-1084 | 2009-10-06 |
| 1821219619 | Nicole Marie Kostelc | Pharmacist | 8400 Willow West Dr, Willow Springs, IL 60480-1140 | 2007-05-01 |
| 1770735433 | Mary Terese Anne Squeo | Recreation Therapist | 8626 Dunbar St, Willow Springs, IL 60480-1165 | 2008-10-14 |
| Find all providers in zip 60480 | ||||
| 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 |
|---|---|---|---|---|
| 1578091666 | Macayla Lenzi | Physical Therapy Assistant | 8434 Cocoran Road, Willow Springs, IL 60480 | 2017-06-01 |
| 1700390903 | James Borre | Physical Therapy Assistant | 8434 Corcoran Rd, Willow Springs, IL 60480-1666 | 2017-11-27 |
| 1750583654 | Dorothy Paulette Tooley | Physical Therapy Assistant | 2646 State Route 76, Willow Springs, MO 65793-8254 | 2007-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407562 | Cassie Santana | Physical Therapy Assistant | 2220 Founders Dr, Northbrook, IL 60062-5478 | 2020-11-02 |
| 1194325852 | George Oppong | Physical Therapy Assistant | 2555 W Eastwood Ave Apt 1, Chicago, IL 60625-2969 | 2020-10-30 |
| 1932708963 | Beth Anne Krueger | Physical Therapy Assistant | 16w301 91st St, Burr Ridge, IL 60527-6368 | 2020-10-21 |
| 1699374884 | Megan E Strnad | Physical Therapy Assistant | 1329 N Russell Ave, Aurora, IL 60506-1433 | 2020-10-20 |
| 1346849734 | Amy Allen | Physical Therapy Assistant | 26613 Silverleaf Dr, Plainfield, IL 60585-2809 | 2020-10-18 |
| 1023615390 | Natalie Elliott | Physical Therapy Assistant | 622 University St, Carlinville, IL 62626-1459 | 2020-10-08 |
| 1285231167 | Georgia Rinda | Physical Therapy Assistant | 406 Front St # 110, Mchenry, IL 60050-5593 | 2020-10-05 |
| 1003428806 | Staci A Burris | Physical Therapy Assistant | 900 Centennial Dr # 30, East Peoria, IL 61611-4928 | 2020-08-21 |
| 1669083879 | Janette Donna Waksmanski | Physical Therapy Assistant | 7125 Sholer Ave, Bridgeview, IL 60455-1062 | 2020-08-11 |
| 1952912230 | Josh M Pandola | Physical Therapy Assistant | 415 W Golf Rd Ste 68, Arlington Heights, IL 60005-3923 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRINGS |
| Zip Code | 60480 |
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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.