KELLY SUSAN FORTNER (NPI# 1053552158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053552158 |
| Entity Type | Individual |
| Full Name | KELLY SUSAN FORTNER |
| Other Name | KELLY SUSAN DICKEY |
| Credential | DPT |
| Practice Address |
2895 Hamilton Blvd Suite 105 Allentown PA 18104-6172 |
| Mailing Address |
659 S Salisbury Blvd Ste 1b Salisbury MD 21801-5458 |
| Practice Telephone | 6108413555 |
| Practice Fax Number | 6108413558 |
| Mailing Telephone | 4108313226 |
| Mailing Fax Number | 4106770883 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2017-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 40QA01309100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT019678 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174874564 | Kelly O'neill Fortner | Occupational Therapist | 118 Chatham Ave, Buffalo, NY 14216-3137 | 2012-09-25 |
| Street Address |
2895 HAMILTON BLVD SUITE 105 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-6172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953761 | Farhad Sholevar | Psychiatry & Neurology | 2895 Hamilton Blvd, Suite 104, Allentown, PA 18104-6172 | 2005-06-22 |
| 1457801839 | Pa Foot and Ankle Associates, LLC | Podiatrist | 2895 Hamilton Blvd, Suite 101, Allentown, PA 18104-6172 | 2016-10-10 |
| 1558793331 | Holly E. Burns | Physical Therapist | 2895 Hamilton Blvd, Ste 105, Allentown, PA 18104-6172 | 2013-08-05 |
| 1386916492 | Orthoalliance Lp | Home Health | 2895 Hamilton Blvd, Suite 102, Allentown, PA 18104-6172 | 2012-02-04 |
| 1548577943 | Kanwardeep Singh Sethi | Psychiatry & Neurology | 2895 Hamilton Blvd, Allentown, PA 18104-6172 | 2010-09-07 |
| 1487974952 | Robert James Spade II | Physical Therapist | 2895 Hamilton Blvd, Ste 105, Allentown, PA 18104-6172 | 2010-06-08 |
| 1255661278 | Nicholas Horowski | Physical Therapist | 2895 Hamilton Blvd, Suite 105, Allentown, PA 18104-6172 | 2010-01-14 |
| 1053544387 | Marissa A Weaver | Physician Assistant | 2895 Hamilton Blvd, Suite 104, Allentown, PA 18104-6172 | 2009-09-03 |
| 1023243839 | Daniel Tyler Kratzer | Dentist | 2895 Hamilton Blvd, 207, Allentown, PA 18104-6172 | 2009-05-22 |
| 1952546640 | Edward Solomon | Dentist | 2895 Hamilton Blvd, Suite 205, Allentown, PA 18104-6172 | 2008-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1881205128 | Dakota Paul Strohl | Physical Therapist | 1245 S Cedar Crest Blvd Ste 205, Allentown, PA 18103-6258 | 2020-08-11 |
| 1437768348 | Erica Newborn | Physical Therapist | 1278 Yardville Allentown Rd Ste 3, Allentown, NJ 08501-1866 | 2020-07-27 |
| 1093342214 | Alyssa Whiting | Physical Therapist | 1243 S Cedar Crest Blvd Ste 102, Allentown, PA 18103-6268 | 2020-03-26 |
| 1205492204 | Giselle Helen Monosa-hefele | Physical Therapist | 1200 South Cedar Crest Blvd., Rehab Services- First Floor, Allentown, PA 18103-6202 | 2019-05-15 |
| 1851858831 | Devin Jepson | Physical Therapist | 707 Hamilton St Fl 4, Allentown, PA 18101-2407 | 2019-02-26 |
| 1437615432 | Danielle Lawler | Physical Therapist | 3131 College Heights Blvd Ste 2400, Allentown, PA 18104-4817 | 2019-02-14 |
| 1770065070 | Amanda Murphy | Physical Therapist | 1515 Mauch Chunk Rd, Allentown, PA 18102-1034 | 2018-09-04 |
| 1790275832 | Sarah Elizabeth Smith | Physical Therapist | 1362 Devon Cir, Allentown, PA 18104-2257 | 2018-05-15 |
| 1821504424 | Joseph Moussa | Physical Therapist | 2895 Hamilton Blvd Ste 102, Allentown, PA 18104-6172 | 2017-12-18 |
| 1760903462 | Mary Angela Mckinnon | Physical Therapist | 4536 Hamilton Blvd, Allentown, PA 18103-6019 | 2017-07-03 |
| Find all providers in ALLENTOWN | ||||
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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.