THOMAS B KELLY (NPI# 1013455542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013455542 |
| Entity Type | Individual |
| Full Name | THOMAS B KELLY |
| Practice Address |
5905 Severin Dr La Mesa CA 91942-3806 |
| Practice Telephone | 6195892606 |
| Practice Fax Number | 6194640900 |
| Mailing Telephone | 6195892606 |
| Mailing Fax Number | 6194640900 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA5569 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844554 | Thomas Kelly | Physical Therapist | 204 Eastlake Ave, Massapequa Park, NY 11762-2145 | 2020-09-03 |
| 1962718684 | Thomas Bebell Kelly | Pharmacist | 6520 Barton Ct, Johnston, IA 50131-2900 | 2010-08-19 |
| 1598071201 | Thomas Kelly | Internal Medicine | 850 W Baraga Ave Ste 32, Marquette, MI 49855-4550 | 2010-08-19 |
| 1316170988 | Thomas Joseph Kelly II | Ophthalmology | 2104 Golfview Dr Ne, New Philadelphia, OH 44663-9700 | 2009-08-31 |
| 1265523500 | Thomas J Kelly | Physical Therapist | 2704 Mineral Springs Ave, Knoxville, TN 37917-1562 | 2006-09-28 |
| 1972607562 | Thomas E. Kelly | Counselor | 108 S Minnesota Ave Ste 102, Saint Peter, MN 56082-2557 | 2006-09-12 |
| 1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
| 1043228000 | Thomas Francis Kelly | Dentist | 200 North Royal Tower Dr, Irmo, SC 29063 | 2006-08-04 |
| 1225050149 | Thomas M Kelly | Chiropractor | 124 State Route 35, Red Bank, NJ 07701-5906 | 2006-07-24 |
| 1215958723 | Thomas Michael Kelly Jr. | Pharmacist | 528 West Lacey Road, Forked River, NJ 08731 | 2006-07-21 |
| Street Address |
5905 SEVERIN DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689622433 | Dennis Paul Langton | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2006-05-04 |
| 1891226437 | Nathan Burlakovsky | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2017-03-24 |
| 1114477585 | Kathryn Csete | Clinic/Center | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2016-10-10 |
| 1053780395 | Andrew Clendenen | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2015-09-16 |
| 1902227192 | Cara Winick | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2013-12-15 |
| 1639503725 | Carmen Rebeca Reyes | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2013-08-26 |
| 1720423866 | Elizabeth Anne Philbin | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2013-05-02 |
| 1700151529 | Seth Egge | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2012-03-12 |
| 1336426592 | Marla L Huott | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2011-11-15 |
| 1114173838 | Jessica Brooke Niebrugge | Physical Therapist | 5905 Severin Dr, La Mesa, CA 91942-3806 | 2008-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| 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 |
|---|---|---|---|---|
| 1144726043 | Thomas Robert Missett | Physical Therapy Assistant | 8380 Center Dr Ste E, La Mesa, CA 91942-2952 | 2018-04-01 |
| 1659480788 | Stella Moderau | Physical Therapy Assistant | 8090 Parkway Dr, La Mesa, CA 91942-2105 | 2006-08-30 |
| 1124661715 | Trina Rose Jensen | Physical Therapy Assistant | 8380 Center Dr Ste E, La Mesa, CA 91942-2952 | 2019-10-25 |
| 1811430374 | Leilanie Diaz Morrissette | Physical Therapy Assistant | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-11-30 |
| 1578006045 | Michael Dreher | Physical Therapy Assistant | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-11-30 |
| 1649713199 | Kaily Kraemer | Physical Therapy Assistant | 8787 Center Dr, La Mesa, CA 91942-3034 | 2016-11-30 |
| 1982846259 | Donna M Haglund | Physical Therapy Assistant | 7862 El Cajon Blvd, La Mesa, CA 91941-3712 | 2009-04-01 |
| 1205001112 | Steve La Bella | Physical Therapy Assistant | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2008-04-23 |
| 1073790168 | Michele Dela Cruz | Physical Therapy Assistant | 5480 Marengo Ave, La Mesa, CA 91942-2408 | 2008-01-30 |
| 1871773200 | Michael Podlenski | Physical Therapy Assistant | 8881 Fletcher Pkwy, Suite #280, La Mesa, CA 91942-3134 | 2007-11-14 |
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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.