SHELLY R KING (NPI# 1114232279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114232279 |
| Entity Type | Individual |
| Full Name | SHELLY R KING |
| Credential | PTA |
| Practice Address |
4045 W Royal Dr Traverse City MI 49684-8965 |
| Practice Telephone | 2319350900 |
| Mailing Telephone | 2319350900 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502001368 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881132009 | Shelly Elaine King | Community Health Worker | 8032 Eagle Ridge Dr, West Chester, OH 45069-1973 | 2017-02-08 |
| 1831648484 | Shelly King | Speech-Language Pathologist | 219 Concord Dr, Normal, IL 61761-2754 | 2016-09-23 |
| 1043504137 | Shelly K King | Pharmacist | 233 E High St, Carlisle, PA 17013-2521 | 2011-06-06 |
| 1013169796 | Shelly D King | Dentist | 6900 Daniels Pkwy Ste 30, Fort Myers, FL 33912-1587 | 2008-10-14 |
| 1427044874 | Shelly J King | Nurse Practitioner | 705 Riley Hospital Dr, Suite 4230, Indianapolis, IN 46202-5109 | 2005-09-21 |
| Street Address |
4045 W ROYAL DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141704 | Jeff Philip Burke | Physical Therapist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2005-08-15 |
| 1417563073 | Madeline Adams | Nurse Practitioner | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2020-09-18 |
| 1043845928 | Kolleen Werly | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2020-03-11 |
| 1821599374 | Spencer Popp | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2018-02-21 |
| 1851832844 | Danielle Muszynski | Nurse Practitioner | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2017-03-10 |
| 1902233471 | Trisha Rae Zelinski | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2013-09-30 |
| 1124316096 | Janice Mary Cobb | Physical Therapist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2011-07-13 |
| 1952691768 | Alisha Marie Cole | Physician Assistant | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2011-04-13 |
| 1306154505 | Karen Allison Miller | Specialist/Technologist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2010-09-22 |
| 1942533534 | Courtney Marie Greening | Physical Therapist | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| 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 |
|---|---|---|---|---|
| 1639637523 | Hanna Elizabeth Farkas | Physical Therapy Assistant | 3367 Panorama Ln, Traverse City, MI 49684-8065 | 2019-03-09 |
| 1043649726 | Ben Samborn | Physical Therapy Assistant | 4295 Balsam Cir, Traverse City, MI 49696-8328 | 2013-11-04 |
| 1063996056 | Nicole Ketcik | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-09-17 |
| 1619470796 | Jessie Stockwell | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2018-03-14 |
| 1023568110 | Clay Lemcool Maxwell Lemcool | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-10-12 |
| 1861941056 | Sarah Gaby | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-09-28 |
| 1386002194 | Cheryl Gay | Physical Therapy Assistant | 812 S Garfield Ave, Suite 1, Traverse City, MI 49686-3456 | 2016-02-08 |
| 1447647763 | Kathryn Smith | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2015-04-24 |
| 1629478995 | Chad Johnston | Physical Therapy Assistant | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2014-08-24 |
| 1093115321 | Alexandria Peacock | Physical Therapy Assistant | 2585 Lafranier Rd, Traverse City, MI 49686-8972 | 2014-08-22 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.