KELLY JO CARLSON (NPI# 1952432288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952432288 |
| Entity Type | Individual |
| Full Name | KELLY JO CARLSON |
| Credential | ATC |
| Practice Address |
27650 Ferry Rd Warrenville IL 60555-3845 |
| Mailing Address |
26w255 Box Elder Ave Wheaton IL 60187-2906 |
| Practice Telephone | 6302252466 |
| Mailing Telephone | 6302252466 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304777 | Kelly R Carlson | Physical Therapist | 3365 Central Park Village Dr # 100, Eagan, MN 55121-7707 | 2018-01-26 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1538424601 | Kelly Carlson | Internal Medicine | 7447 W Talcott Ave Ste 200, Chicago, IL 60631-3713 | 2012-07-05 |
| 1780985507 | Kelly E Carlson | Social Worker | 468 W 153rd St, 2b, New York, NY 10031-1117 | 2010-11-10 |
| 1801069786 | Kelly A. Carlson | Developmental Therapist | 1131 Maple Ln, Batavia, IL 60510-1185 | 2008-04-10 |
| 1215582283 | Kelly Marie Carlson | Speech-Language Pathologist | 100 3rd Ave S, Carrington, ND 58421-2263 | 2019-08-07 |
| 1285187542 | Kelly Carlson | Nurse Practitioner | 24 Compton Rd Ste 205, Cincinnati, OH 45216-1036 | 2016-08-03 |
| 1720326408 | Kelly L Carlson | Counselor | 5500 Military Trl, #22-106, Jupiter, FL 33458-2869 | 2013-01-30 |
| 1548402654 | Kelly A. Carlson | Nurse Practitioner | 2347 Jones Bend Rd, Peninsula Hospital, Louisville, TN 37777-5213 | 2009-04-03 |
| 1083749964 | Kelly Carlson | Speech-Language Pathologist | 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121-1119 | 2007-02-22 |
| Street Address |
27650 FERRY RD |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786465 | Laurie A. Morgan | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2005-08-03 |
| 1528585155 | Megan Wojowski | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2017-08-24 |
| 1689120065 | Lauren Roth | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2016-08-26 |
| 1881077048 | Daniel Philip Jonas | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-07-07 |
| 1730579590 | Katelynn Shilka | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-02-02 |
| 1699164475 | Laura E Conte | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-01-15 |
| 1992102834 | Daniel L Lowder | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-11-20 |
| 1437553781 | Danielle J Murphy | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-10-15 |
| 1871905703 | Sander Rubin | Family Medicine | 27650 Ferry Rd, Warrenville, IL 60555 | 2014-05-27 |
| 1518395946 | Jennifer Gall | Physician Assistant | 27650 Ferry Rd, Suite 100, Warrenville, IL 60555-3845 | 2013-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134786809 | Jamail Mays | Specialist/Technologist | 27650 Ferry Rd Ste B20, Warrenville, IL 60555-3845 | 2019-05-28 |
| 1154869360 | Maria Reyes | Specialist/Technologist | 2s738 Winchester Cir W, 1, Warrenville, IL 60555-2470 | 2017-02-08 |
| 1578969804 | Holly Brooke Rittenberry | Specialist/Technologist | 5078 Pleasant Pointe Dr, Warrenville, SC 29851-3212 | 2014-11-13 |
| 1528585155 | Megan Wojowski | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2017-08-24 |
| 1730579590 | Katelynn Shilka | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-02-02 |
| 1699164475 | Laura E Conte | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2015-01-15 |
| 1992102834 | Daniel L Lowder | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2014-11-20 |
| 1467897579 | Doug Guth | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2013-05-02 |
| 1043655145 | Mark Demchak | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2013-05-02 |
| 1629096912 | Christina Barnes | Specialist/Technologist | 27650 Ferry Rd, Pt Department, Warrenville, IL 60555-3845 | 2006-07-17 |
| Find all providers in WARRENVILLE | ||||
| City | WARRENVILLE |
| Zip Code | 60555 |
Please comment or provide details below to improve the information on KELLY JO CARLSON.
| 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.