KELLY DANIELS (NPI# 1093131765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093131765 |
| Entity Type | Individual |
| Full Name | KELLY DANIELS |
| Credential | PT, DPT |
| Practice Address |
1500 Line Ave Shreveport LA 71101-4639 |
| Mailing Address |
5400 Barksdale Blvd Apt 412 Bossier City LA 71112-4538 |
| Practice Telephone | 3182133810 |
| Mailing Telephone | 3185606192 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
08479 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576788 | Kelly Elizabeth Daniels | Student in an Organized Health Care Education/Training Program | University Ear, Nose, and Throat Specialists, 203 Lothrop St. Suite 300, Pittsburgh, PA 15213 | 2020-04-07 |
| 1801826318 | Kelly A Daniels | Physical Therapist | 19119 North Creek Pkwy Suite 107, Tai - Canyon Park Sport & Spine Physical Therapy, Bothell, WA 98011-8036 | 2006-07-03 |
| 1760008197 | Kelly M Daniels | Behavioral Analyst | 18401 Timber Forest Dr, Humble, TX 77346-2535 | 2020-06-22 |
| 1811522576 | Kelly Joanne Daniels | Occupational Therapist | 4107 N Himes Ave, Tampa, FL 33607-6655 | 2020-03-03 |
| 1689123473 | Kelly Daniels | Specialist/Technologist | 1134 N Road St, Bldg 7, Elizabeth City, NC 27909-3365 | 2016-09-22 |
| 1982869178 | Kelly Daniels | Nurse Practitioner | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2008-07-28 |
| Street Address |
1500 LINE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427829 | Stephen L. Cox | Orthopaedic Surgery | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4644 | 2005-06-17 |
| 1952944894 | Red River Medicine, LLC | Internal Medicine | 1500 Line Ave, Shreveport, LA 71101-4639 | 2019-10-23 |
| 1659871887 | Valerie Taylor Thompson | Physical Therapist | 1500 Line Ave, Shreveport, LA 71101-4639 | 2018-02-14 |
| 1356892665 | Ryan D Elledge | Physician Assistant | 1500 Line Ave, Suite 200, Shreveport, LA 71101-4639 | 2016-10-21 |
| 1487109138 | Kristen Jones Brezina | Physician Assistant | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4639 | 2016-08-23 |
| 1619328838 | Meghan Marie Williams | Occupational Therapist | 1500 Line Ave, Suite 100, Shreveport, LA 71101-4639 | 2016-06-29 |
| 1285023010 | Mca Specialists Hospital, LLC | Anesthesiology | 1500 Line Ave, Shreveport, LA 71101-4639 | 2015-01-16 |
| 1245678432 | Laura Elise Bares | Physical Therapist | 1500 Line Ave, Suite 104, Shreveport, LA 71101-4639 | 2013-06-10 |
| 1710233721 | Elvira Cehajic | Nurse Practitioner | 1500 Line Ave, Ste 100, Shreveport, LA 71101-4639 | 2012-07-27 |
| 1437425162 | Stephanie G Candler | Specialist/Technologist, Other | 1500 Line Ave, Suite 200, Shreveport, LA 71101-4639 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003315607 | Matthew Alan Armstrong | Physical Therapist | 2530 Bert Kouns Industrial Loop Ste 148, Shreveport, LA 71118-6114 | 2018-02-08 |
| 1871931345 | Eric Michael Rippetoe | Physical Therapist | 9735 Aiello Ln, Shreveport, LA 71106-7440 | 2013-06-06 |
| 1366040933 | Aimee Elise Albarez | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2020-10-15 |
| 1053852368 | Rippetoe Health LLC | Physical Therapist | 9735 Aiello Ln, Shreveport, LA 71106-7440 | 2017-03-20 |
| 1114154184 | The Edge Physical Therapy and Sports Science Center | Physical Therapist | 2950 Fairfield Ave, Shreveport, LA 71104-1906 | 2009-06-17 |
| 1487826566 | Danielle V Mcrae | Physical Therapist | 2120 Bert Kouns Loop, Suite B, Shreveport, LA 71118-3351 | 2008-03-28 |
| 1154519130 | Julie Ann Harris | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2007-10-04 |
| 1558420448 | Andrew P Leblanc | Physical Therapist | 2820 Hearne Ave, Shreveport, LA 71103-3934 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898990 | Johnnie L Kleinschmidt | Physical Therapist | 1890 W Gauthier Rd Ste 125, Lake Charles, LA 70605-7180 | 2020-07-13 |
| 1740813534 | R R Rehab LLC | Physical Therapist | 3960 Florida St Ste 3, Mandeville, LA 70448-3340 | 2020-02-19 |
| 1871151399 | Amy Laura Stallings | Physical Therapist | 1135 Expressway Dr Ste 100a, Pineville, LA 71360-6666 | 2019-05-30 |
| 1467016428 | Grant Anthony Falcon | Physical Therapist | 2531 Dulles Dr, Lafayette, LA 70506-2660 | 2019-04-25 |
| 1184192254 | William Keith Mills II | Physical Therapist | 7872 Anselmo Ln Ste B, Baton Rouge, LA 70810-1101 | 2018-11-07 |
| 1225516982 | Mallory Kathryn Lott | Physical Therapist | 234 Loyola Ave Ste 302, New Orleans, LA 70112-2026 | 2018-08-03 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1770031197 | Jade Jones | Physical Therapist | 2310 Commons Ct., Unit 2, Ruston, LA 71270 | 2016-09-14 |
| 1265840516 | Benjamin Michael Wilt | Physical Therapist | 13334 W Mill Grove Dr, Gonzales, LA 70737-6564 | 2014-07-31 |
| 1316353592 | Blake William Brown | Physical Therapist | 312 Grammont St Ste 302, Monroe, LA 71201-7403 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on KELLY DANIELS.
| 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.