KELLY MARIE CLARK (NPI# 1124685383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124685383 |
| Entity Type | Individual |
| Full Name | KELLY MARIE CLARK |
| Practice Address |
909 N Washington Ave Dallas TX 75246-1520 |
| Mailing Address |
3427 Cedar Springs Rd Apt 1449 Dallas TX 75219-3263 |
| Practice Telephone | 2148209300 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT33953 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT1306889 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1013474410 | Kelly Patricia Clark | Licensed Practical Nurse | 55 Pine Dr E, Mason, MI 48854-9229 | 2019-02-22 |
| 1013497304 | Kelly Ann Clark | Case Manager/Care Coordinator | 2498 Wenona Dr, Wixom, MI 48393-2199 | 2018-08-16 |
| 1407336720 | Kelly Elizabeth Clark | Physical Medicine & Rehabilitation | 3800 Reservoir Rd., Bles Building, Ground Floor, Department of Pm&r, Washington, DC 20007-2113 | 2018-08-16 |
| 1356747448 | Kelly Clark | Dietitian, Registered | 46 Mallards Cv, Duxbury, MA 02332-3548 | 2014-11-17 |
| 1568883312 | Kelly Clark | Licensed Practical Nurse | 125 W Bartlette St, Apt. 110, Sumter, SC 29150-5173 | 2013-12-20 |
| 1306105903 | Kelly Thomas Clark | Speech-Language Pathologist | 3406 Fowler Ct, Missouri City, TX 77459-6366 | 2012-05-16 |
| 1619247509 | Kelly Jane Clark | Pharmacist | 328 Quail Walk Trl, Chapin, SC 29036-9791 | 2012-01-09 |
| 1427350461 | Kelly Darlene Clark | Chiropractor | 2425 Mahan Dr, Tallahassee, FL 32308-2301 | 2010-11-24 |
| 1538479324 | Kelly S Clark | Licensed Vocational Nurse | 15716 W High St # 597, Middlefield, OH 44062-9201 | 2010-10-14 |
| Street Address |
909 N WASHINGTON AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813742 | Baylor Institute for Rehabilitation At Gaston Episcopal Hospital | Rehabilitation Hospital | 909 N Washington Ave, Dallas, TX 75246-1520 | 2005-07-07 |
| 1689271611 | Katherine Lee South Adams | Physical Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2020-10-02 |
| 1710524608 | Stacie Ann Rodriguez | Occupational Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-12-10 |
| 1326699166 | Britley Amanda Owens | Occupational Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-09-23 |
| 1508415076 | Trena Sue Duckworth | Occupational Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-09-08 |
| 1740836113 | Rose Ann Dunn | Clinical Neuropsychologist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-08-12 |
| 1619534229 | Ashley Tucker | Speech-Language Pathologist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-05-20 |
| 1891255204 | Hayden Marshall Fowler | Physical Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-03-21 |
| 1073071429 | Jane Udeh | Nurse Practitioner | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-03-05 |
| 1376000984 | Bridget Denicola | Physical Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2019-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| 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 |
|---|---|---|---|---|
| 1659982304 | Victoria Garcia | Physical Therapist | 2370 Victory Ave Apt 1206, Dallas, TX 75219-7918 | 2020-08-14 |
| 1992315113 | Vista Rehab Partners, Lp | Physical Therapist | 10233 E Northwest Hwy Ste 410, Dallas, TX 75238-4430 | 2020-08-03 |
| 1902416241 | Nikola Do Brunelle-tran | Physical Therapist | 7414 E Grand Ave Apt 738, Dallas, TX 75214-4253 | 2020-08-02 |
| 1447878103 | Corrie J Maguire | Physical Therapist | 4428 Main St Ste 100, Dallas, TX 75226-1119 | 2020-07-09 |
| 1922625094 | Colten Poellinger | Physical Therapist | 136 Glass St Ste 140, Dallas, TX 75207-6930 | 2020-07-06 |
| 1942827894 | Kendra Jenay Dawson | Physical Therapist | Genesis Pt and Wellness, Pllc, 4428 Main Street Suite 100, Dallas, TX 75226 | 2020-06-26 |
| 1740806504 | The Virtual Pt | Physical Therapist | 2020 Columbus St Apt 4403, Dallas, TX 75204-3963 | 2020-06-17 |
| 1215557327 | Aklos Health Inc. | Physical Therapist | 2588 N Houston St Apt 1014, Dallas, TX 75219-7823 | 2020-04-18 |
| 1235768847 | Alejandra Ann Taylor | Physical Therapist | 5303 Harry Hines Blvd # U5101, Dallas, TX 75390-7294 | 2020-04-06 |
| 1366079287 | Andrea Castro | Physical Therapist | 3051 Harbinger Ln, Dallas, TX 75287-5966 | 2020-03-23 |
| Find all providers in DALLAS | ||||
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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.