Stacey Kelso (NPI# 1689130981, PAC ID# 1153663463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
Nation Provider ID (NPI) | 1689130981 |
PAC ID by PECOS | 1153663463 |
Professional Enrollment ID | I20190506002064 |
Full Name | Stacey Kelso |
Organization Legal Name | FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC |
Address |
2825 Carter Rd Sumter SC 29150-1712 |
Phone Number | 8885312204 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | OCCUPATIONAL THERAPY |
Group Practice PAC ID | 2860649654 |
Number of Group Practice Members | 42 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2825 Carter Rd, Sumter, SC 29150-1712 | 8885312204 | FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC |
Organization Legal Name | FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC |
Physicians | 60 |
Name | Specialty | Organization | Address |
---|---|---|---|
Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
Jennifer Flenorl | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 650 Colbert Ln, Palm Coast, FL 32137-4503 |
Randall D Barr | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 4001 Sw 33rd Court, Ocala, FL 34474-6296 |
Rodney Mendoza | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 3221 Fruitville Rd, Sarasota, FL 34237-6452 |
Eloise Johnston | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 1 Pavillion Place, Penney Farms, FL 32079-0555 |
Tracy Mucher | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 575 Osgood St, North Andover, MA 01845-1975 |
Andrea Rodhouse | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2250 Jesus Way, Sarasota, FL 34240-9405 |
Heather M Mack | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 2830 Carol Rd, York, PA 17402-3852 |
Kelly M Kinne | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 6235 Hoffman St, North Port, FL 34287-2285 |
Pamela L Hill | Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 12000 Turnmeyer Sedr, Huntsville, AL 35803-3358 |
Street Address |
2825 CARTER RD |
City | SUMTER |
State | SC |
Zip | 29150-1712 |
Name | Specialty | Organization | Address |
---|---|---|---|
Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
Abbie F Kirby | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
Bhadrik I Patel, Pa-c | Physician Assistant | Doctors Care, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
Anna M Evans | Nurse Practitioner | Doctors Care, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
Terry A King | Family Medicine | Doctors Care, Pa | 2475 Broad St, Sumter, SC 29150-1820 |
Find all physicians in zip 29150 |
City | SUMTER |
Zip Code | 29150 |
Specialty | OCCUPATIONAL THERAPY |
City + Specialty | SUMTER + OCCUPATIONAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.