KELLIE FAYE O'BRIEN (NPI# 1962608315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962608315 |
Entity Type | Individual |
Full Name | KELLIE FAYE O'BRIEN |
Credential | DPT |
Practice Address |
3380 E Main St Danville IN 46122-9089 |
Mailing Address |
393 Turnberry Ct Avon IN 46123-8400 |
Practice Telephone | 3177180089 |
Mailing Telephone | 3175072617 |
Enumeration Date | 2007-06-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
05009258A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942814769 | Kellie O'brien | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2020-08-31 |
Street Address |
3380 E MAIN ST |
City | DANVILLE |
State | IN |
Zip Code | 46122-9089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588710602 | Cornerstone Rehabilitation Services, P.C. | Occupational Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2007-01-25 |
1447786744 | Learning Trails and Theratails | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2017-05-05 |
1992246896 | Anne Shaw | Occupational Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2017-03-13 |
1902344732 | Jennifer Phillps | Developmental Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2017-01-31 |
1154878049 | Cornerstone Pediatric Rehabilitation | Early Intervention Provider Agency | 3380 E Main St, Danville, IN 46122-9089 | 2016-09-08 |
1922552975 | Christine Preiner | Speech-Language Pathologist | 3380 E Main St, Danville, IN 46122-9089 | 2016-08-08 |
1659747434 | Clayton Leon Edwards | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2015-08-17 |
1447656285 | Anne Elizabeth Class | Occupational Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2014-11-05 |
1295135127 | Sarah Wanger | Speech-Language Pathologist | 3380 E Main St, Danville, IN 46122-9089 | 2014-08-28 |
1588076301 | Stephanie Houghton | Speech-Language Pathologist | 3380 E Main St, Danville, IN 46122-9089 | 2014-05-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
1972827335 | Edwin J Jackson Jr. | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122 | 2010-03-15 |
1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
1205957685 | Tricia L Veach | Day Training/Habilitation Specialist | 1600 E Main St, Box 369 (po), Danville, IN 46122 | 2007-04-03 |
1699897645 | Jon Erickson | Dentist | 23 S County Road 200 East, Ste B, Danville, IN 46122 | 2007-04-03 |
1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
1265514277 | Roberta Marie Gray | Registered Nurse | Hendricks Regional Health Partners In Care, 1000 E Main St, Danville, IN 46122 | 2006-10-19 |
1255427886 | John Kingsley Sparzo | Internal Medicine | 1000 E. Main St, Danville, IN 46122 | 2006-10-04 |
Find all providers in zip 46122 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174969554 | Julie S. Bursey | Physical Therapist | 605 Glasgow Cir, Danville, CA 94526-2908 | 2013-05-13 |
1093349789 | Alexis Niani Mccrea | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2020-03-03 |
1447786744 | Learning Trails and Theratails | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2017-05-05 |
1265980999 | Caitlin Marie Beam | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2016-09-11 |
1629447214 | Tracey Ewing | Physical Therapist | 625 Piney Forest Rd Ste 407, Danville, VA 24540-2870 | 2015-09-24 |
1659747434 | Clayton Leon Edwards | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2015-08-17 |
1093111908 | Elizabeth Jackson Yanow | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2014-11-05 |
1831509785 | Danielle C Peppler | Physical Therapist | 175 Deer Run Rd, Danville, VA 24540-2863 | 2014-04-30 |
1730311911 | Kristy Marie Habiby | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2009-08-20 |
1972765154 | Adrienne N Pfaffenberger | Physical Therapist | 3380 E Main St, Danville, IN 46122-9089 | 2008-06-27 |
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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.