MS. KATHLEEN ANN KELLEHER (NPI# 1083834485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083834485 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ANN KELLEHER |
| Credential | P.T. |
| Practice Address |
30 Chase Ave Edmund Ervin Pediatric Center Waterville ME 04901-4624 |
| Mailing Address |
48 Johnson Hts Waterville ME 04901-4907 |
| Practice Telephone | 2078724390 |
| Practice Fax Number | 2078724294 |
| Mailing Telephone | 2078731705 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225100000X | Physical Therapist | PT982 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT982 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | PHYSICAL THERAPY LICENSE | PT982 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558708453 | Kathleen M Kelleher | Acupuncturist | 428 Lloyd Rd, Aberdeen, NJ 07747-1552 | 2013-05-31 |
| 1841417516 | Kathleen Kelleher | Nurse Practitioner | 97 W Parkway, Collins Pavilion, Pompton Plains, NJ 07444-1647 | 2007-04-20 |
| Street Address |
30 CHASE AVE EDMUND ERVIN PEDIATRIC CENTER |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648713 | Nicholas Jay Thompson | Specialist/Technologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2005-09-01 |
| 1326465063 | Diane Weinstein | Social Worker | 30 Chase Ave, Waterville, ME 04901-4624 | 2014-03-19 |
| 1952737041 | Jill M Godfrey | Counselor | 30 Chase Ave, Waterville, ME 04901-4624 | 2013-09-20 |
| 1306272547 | Caroline W Feely | Social Worker | 30 Chase Ave, Waterville, ME 04901-4624 | 2013-09-19 |
| 1538469044 | Carmen Alvarado Bernhardt | Occupational Therapy Assistant | 30 Chase Ave, Waterville, ME 04901-4624 | 2010-10-31 |
| 1063743961 | Susan Lewis Cruz | Nurse Practitioner | 30 Chase Ave, Workplace Health, Waterville, ME 04901-4624 | 2010-01-18 |
| 1790921963 | James R Sisung II | Psychologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-12-18 |
| 1063662351 | Mary Anne F Booth | Audiologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-09-24 |
| 1831374750 | Meredyth Ann Sanborn | Speech-Language Pathologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-01-09 |
| 1861515330 | John Taylor Bielecki | Preventive Medicine | 30 Chase Ave, Waterville, ME 04901-4624 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| 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 |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1689045403 | Amanda Wohl, Pt, Dpt, LLC | Physical Therapist | 56 Mayflower Hill Dr, Waterville, ME 04901-4719 | 2015-10-20 |
| 1285868091 | Jean Diciancia Anderson | Physical Therapist | 200 Kennedy Memorial Drive, Rehab Works Dept., Waterville, ME 04901 | 2009-05-07 |
| 1598932717 | Patricia Anne Reynolds | Physical Therapist | 222 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2008-05-15 |
| 1588730253 | Orthopedic Therapy Associates of Waterville, Maine | Physical Therapist | 234 College Ave, Waterville, ME 04901-6226 | 2006-11-27 |
| 1629039920 | Stacey C Tormollan | Physical Therapist | 42 Messalonskee Ave, Waterville, ME 04901 | 2006-03-28 |
| 1053384354 | Michael D Cash | Physical Therapist | 358 Madison St, Waterville, NY 13480-1116 | 2006-02-08 |
| 1881683431 | Bouchard Physical Therapy Services Inc | Physical Therapist | 149 Silver St, Waterville, ME 04901-5813 | 2005-10-17 |
| 1922635440 | Chelsea Ann Lane | Physical Therapist | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2020-03-25 |
| 1053851154 | Adam Joseph Ryan | Physical Therapist | 358 Madison St, Waterville, NY 13480-1116 | 2017-03-08 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.