DR. KELLI ANNE FAVILLE (NPI# 1104384916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104384916 |
| Entity Type | Individual |
| Full Name | DR. KELLI ANNE FAVILLE |
| Credential | DPT |
| Practice Address |
6775 40th Ave N Saint Petersburg FL 33709-4939 |
| Mailing Address |
260 1st Ave S Ste 200 Saint Petersburg FL 33701-4364 |
| Practice Telephone | 7278031002 |
| Mailing Telephone | 7273089848 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT31721 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6775 40TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33709-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285757179 | Patricia Gaffen | Occupational Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709 | 2007-04-07 |
| 1790330785 | Charles Lambert II | Physical Therapy Assistant | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2019-08-06 |
| 1861047862 | Emily Joy Potter | Occupational Therapy Assistant | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2019-08-06 |
| 1750949392 | Shelby Sample | Occupational Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2019-05-29 |
| 1578033650 | Whitney Blankenship | Occupational Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709 | 2018-11-30 |
| 1609343953 | Joseph Lyons | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2018-10-25 |
| 1437645488 | Clint Jester | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2018-07-02 |
| 1679095715 | Joy Coleman | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2017-07-11 |
| 1487081493 | Nathaniel Tyler Kephart | Physical Therapist | 6775 40th Ave N, Saint Petersburg, FL 33709-4939 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| 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 |
|---|---|---|---|---|
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1255844916 | Kim Eneberg | Physical Therapist | 2975 67th Way N, Saint Petersburg, FL 33710-3136 | 2017-11-15 |
| 1427570860 | Vedrana Cvjetkovic | Physical Therapist | 727 83rd Ave N Apt 203, Saint Petersburg, FL 33702-3569 | 2017-07-07 |
| 1457804700 | Alison Remy Kochey | Physical Therapist | 230 30th St N, Saint Petersburg, FL 33713-8621 | 2016-08-03 |
| 1922461870 | Elissa Deusner | Physical Therapist | 1311 Winchester Rd N, Saint Petersburg, FL 33710-6314 | 2016-03-29 |
| 1861885642 | Premier Running, LLC | Physical Therapist | 6986 22nd Ave N, Saint Petersburg, FL 33710-3920 | 2015-03-18 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1912224056 | Jonathan P Catalan | Physical Therapist | 1600 83rd Ave N, Saint Petersburg, FL 33702-3912 | 2010-04-29 |
| 1922336742 | A Tender Touch Therapy Services, Pllc | Physical Therapist | 5256 Dover St Ne, Saint Petersburg, FL 33703-3231 | 2009-12-07 |
| 1316173644 | Robinson Chua Ang | Physical Therapist | 5066 Coquina Key Dr Se, Saint Petersburg, FL 33705-4824 | 2009-06-01 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33709 |
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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.