KELLY MACKENZIE SAMS (NPI# 1023593217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023593217 |
| Entity Type | Individual |
| Full Name | KELLY MACKENZIE SAMS |
| Other Name | KELLY MACKENZIE LARKIN |
| Credential | PTA |
| Practice Address |
144 Depot St Buchanan GA 30113-5216 |
| Mailing Address |
52 Cedar Creek Dr Dallas GA 30157-6609 |
| Practice Telephone | 7706465512 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA003946 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Field Street, Bremen, GA 30110 | 7705374482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902307127 | Kelly Nicole Sams | Pharmacist | 525 5th St, Eureka, CA 95501-1032 | 2018-02-22 |
| 1386952430 | Kelly C Sams | Pharmacist | 1440 Ben Sawyer Blvd, Mt Pleasant, SC 29464-5525 | 2010-09-22 |
| Street Address |
144 DEPOT ST |
| City | BUCHANAN |
| State | GA |
| Zip Code | 30113-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025828 | Georgia Subacute Services | Skilled Nursing Facility | 144 Depot St, Buchanan, GA 30113-5216 | 2005-09-29 |
| 1134754567 | Buchanan Healthcare Center LLC | Skilled Nursing Facility | 144 Depot St, Buchanan, GA 30113-5216 | 2020-03-05 |
| 1699208959 | Blue Ridge Healthcare of Buchanan LLC | Skilled Nursing Facility | 144 Depot St, Buchanan, GA 30113-5216 | 2017-04-04 |
| 1609070853 | Sovereign Healthcare of Buchanan, LLC | Skilled Nursing Facility | 144 Depot St, Buchanan, GA 30113-5216 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124386180 | Thomas Fraiser Rodger | Counselor | 123 Van Wert St., Buchanan, GA 30113 | 2012-04-27 |
| 1710244298 | Rhea Michelle Wojcik | Counselor | 123 Van Wert Street, Buchanan, GA 30113 | 2012-04-20 |
| 1518238179 | Kelly Foundation for Senior Living, Inc. | Assisted Living Facility | 4083 Business 27, Buchanan, GA 30113 | 2012-01-13 |
| 1215136296 | Christopher Evan Cook | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2007-07-11 |
| 1558569590 | Solutions Community Services, Inc. | Community/Behavioral Health | 123 Van Wert St, Buchanan, GA 30113 | 2007-07-10 |
| 1053533984 | Crystal Holmes Hembree | Pharmacy Technician | 406 Courthouse Square, Buchanan, GA 30113 | 2007-05-02 |
| 1396829974 | Paul D Hague | Dentist | 3516 U.S. 27s, Buchanan, GA 30113 | 2006-10-24 |
| 1891745329 | Jim Cash Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 406 Carrollton St, Buchanan, GA 30113 | 2006-05-12 |
| 1497986558 | Erin Wurtz Everson | Pharmacy Technician | 406 Courthouse Square, Buchanan, GA 30113 | 2009-08-06 |
| 1720215775 | Villa Rica Eye Care | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2009-06-17 |
| Find all providers in zip 30113 | ||||
| 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 |
|---|---|---|---|---|
| 1780917260 | Helen G Kirby | Physical Therapy Assistant | 145 Morgan Ln, Apartment X 4, Buchanan, TN 38222-3488 | 2009-09-15 |
| 1285232678 | Cheyenne Reyes | Physical Therapy Assistant | 500 E 3rd St, Buchanan, MI 49107-1404 | 2020-10-16 |
| 1255827382 | Kari Mitchell-coplen | Physical Therapy Assistant | 500 E 3rd St, Buchanan, MI 49107 | 2018-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787078 | Karen Welch | Physical Therapy Assistant | 7730 Wallace Tatum Rd, Cumming, GA 30028-7917 | 2020-10-09 |
| 1346857554 | Kaylea Kerr | Physical Therapy Assistant | 4450 Straight Gut Rd, La Fayette, GA 30728-6752 | 2020-09-30 |
| 1821605551 | Hannah Joy Hopkins | Physical Therapy Assistant | 600 Redmond Rd Nw Apt B6, Rome, GA 30165-1434 | 2020-09-27 |
| 1073129342 | Monique Allen | Physical Therapy Assistant | 203 S Lancaster St, Dublin, GA 31021-3423 | 2020-09-21 |
| 1376156117 | Melissa Massingale | Physical Therapy Assistant | 965 Piedmont Rd Ne Ste 200, Marietta, GA 30066-5493 | 2020-08-30 |
| 1821609835 | Shonta Monique Houston | Physical Therapy Assistant | 110 Link St Apt 3l, Hinesville, GA 31313-4430 | 2020-08-13 |
| 1376154740 | Marina Montgomery | Physical Therapy Assistant | 8930 River Landing Way, Sandy Springs, GA 30350-1620 | 2020-08-11 |
| 1780292557 | Jennifer Lynne Cicora | Physical Therapy Assistant | 775 Epps Bridge Pkwy, Athens, GA 30606-3350 | 2020-07-17 |
| 1184244907 | Chelsea Dick | Physical Therapy Assistant | 6659 Peachtree Industrial Blvd Ste I, Norcross, GA 30092-4300 | 2020-04-22 |
| 1467072769 | Jason Cardillo | Physical Therapy Assistant | 906 Grier St, Woodstock, GA 30189-7811 | 2020-04-16 |
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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.