KELLY FECKE (NPI# 1992085104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992085104 |
| Entity Type | Individual |
| Full Name | KELLY FECKE |
| Credential | PTA |
| Practice Address |
29605 Us Highway 19 N Suite #360 Clearwater FL 33761-1537 |
| Practice Telephone | 7277846088 |
| Practice Fax Number | 7277843034 |
| Mailing Telephone | 7277846088 |
| Mailing Fax Number | 7277843034 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA 22782 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
29605 US HIGHWAY 19 N SUITE #360 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823350 | Yervant Khatcherian | Internal Medicine | 29605 Us Highway 19 N, Suite 170, Clearwater, FL 33761-1537 | 2005-07-01 |
| 1811395817 | Foundation Physical Therapy | Physical Therapy Assistant | 29605 Us Highway 19 N, Suite 360, Clearwater, FL 33761-1537 | 2014-12-08 |
| 1255600995 | Stephanie Frances Vaughan | Physical Therapist | 29605 Us Highway 19 N, Suite #360, Clearwater, FL 33761-1537 | 2011-12-27 |
| 1023332905 | Yervant Khatcherian Md Pa | Clinic/Center | 29605 Us Highway 19 N, Suite 170, Clearwater, FL 33761-1537 | 2010-03-20 |
| 1700012747 | Foundation Physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 29605 Us Highway 19 N, Suite #360, Clearwater, FL 33761-1537 | 2009-06-04 |
| 1326123993 | Gaurangi N Patel | Dentist | 29605 Us Highway 19 N, 350, Clearwater, FL 33761-1537 | 2006-10-25 |
| 1780602128 | James Steven Begley | Dentist | 29605 Us Highway 19 N, Suite 120, Clearwater, FL 33761-1537 | 2006-07-17 |
| 1447289715 | Gina Argira Parsonis | Specialist | 29605 Us Highway 19 N, Suite #360, Clearwater, FL 33761-1537 | 2006-06-30 |
| 1750319091 | Gary Mark Parsonis | Specialist | 29605 Us Highway 19 N, Suite #360, Clearwater, FL 33761-1537 | 2006-06-28 |
| 1518902832 | Foundation Physical Therapy, Inc. | Specialist | 29605 Us Highway 19 N, Suite #360, Clearwater, FL 33761-1537 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| 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 |
|---|---|---|---|---|
| 1285260521 | Mirissa Hurtig | Physical Therapy Assistant | 85610 521st Ave, Clearwater, NE 68726-5230 | 2020-03-18 |
| 1770046765 | Richard Jeremy Ross | Physical Therapy Assistant | 5165 Foxbridge Cir N Apt 14, Clearwater, FL 33760-3236 | 2019-04-08 |
| 1427418995 | James D Walker | Physical Therapy Assistant | 1820 Sunset Point Rd, Apt 1822n, Clearwater, FL 33765-1012 | 2016-02-26 |
| 1841659828 | Carolyn S. Gibson | Physical Therapy Assistant | 2040 Larchmont Way, Clearwater, FL 33764-6720 | 2016-02-18 |
| 1245640861 | Mary Danielle Burnett | Physical Therapy Assistant | 101 S Old Coachman Rd Apt 714, Clearwater, FL 33765-4430 | 2014-05-05 |
| 1336570282 | Hannah Goodman | Physical Therapy Assistant | 1908 Bugle Ln, Clearwater, FL 33764-2402 | 2013-12-03 |
| 1578823910 | Dyan Charlemagne | Physical Therapy Assistant | 2106 Bradford St, Clearwater, FL 33760-1921 | 2012-05-18 |
| 1285904813 | Lisa Ruth Woolfenden | Physical Therapy Assistant | 2501 Bramblewood Dr W, Clearwater, FL 33763-1218 | 2012-01-12 |
| 1609015338 | Gloria Gertrude Chase | Physical Therapy Assistant | 2030 Forest Dr, Clearwater, FL 33763-1304 | 2009-02-19 |
| 1669594065 | Jeanne A. Alcorn | Physical Therapy Assistant | 3386 Hyde Park Dr, Clearwater, FL 33761-1416 | 2007-04-04 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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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.