KELLY PESTER (NPI# 1134645708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134645708 |
| Entity Type | Individual |
| Full Name | KELLY PESTER |
| Credential | PT |
| Practice Address |
5040 Forest Dr New Albany OH 43054-8167 |
| Mailing Address |
6981 Road 15c Continental OH 45831-8738 |
| Practice Telephone | 6148906555 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5040 FOREST DR |
| City | NEW ALBANY |
| State | OH |
| Zip Code | 43054-8167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336131127 | Wendy D Schuen | Dermatology | 5040 Forest Dr, Ste 150, New Albany, OH 43054-8167 | 2005-08-17 |
| 1053860007 | Nishant Patel | Physical Therapist | 5040 Forest Dr, New Albany, OH 43054-8167 | 2016-09-30 |
| 1376092668 | Brandon Gano | Physician Assistant | 5040 Forest Dr, Suite 300, New Albany, OH 43054-8167 | 2016-09-27 |
| 1396100863 | New Albany Psychological Services, LLC | Clinic/Center | 5040 Forest Dr, Suite 210, New Albany, OH 43054-8167 | 2015-12-28 |
| 1740693654 | Ashley Gregg Taylor | Registered Nurse | 5040 Forest Dr, Suite 300, New Albany, OH 43054-8167 | 2014-06-09 |
| 1003103474 | New Albany Surgery Center, LLC | Clinic/Center | 5040 Forest Dr, New Albany, OH 43054-8181 | 2011-07-06 |
| 1962602326 | Advanced Dermatology and Skin Surgery Center, LLC | Dermatology | 5040 Forest Dr, Ste 150, New Albany, OH 43054-8167 | 2007-07-23 |
| 1083709190 | Orthopedic & Neurological Consultants, Inc. | Durable Medical Equipment & Medical Supplies | 5040 Forest Dr, 300, New Albany, OH 43054-8167 | 2006-10-04 |
| 1376653774 | Joseph D Mangine | Psychologist | 5040 Forest Dr, Suite 210, New Albany, OH 43054-8167 | 2006-08-30 |
| 1174544506 | Robert J Nowinski | Orthopaedic Surgery | 5040 Forest Dr, Suite 300, New Albany, OH 43054-8167 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1003322785 | Frank Anthony Micchia IIi | Pharmacist | 5161 Hampsted Village Way, New Albany, OH 43054 | 2017-12-18 |
| 1548772627 | Samira Yusuf Beyle | Case Manager/Care Coordinator | 6524 Clifton Park Cir N, 201, New Albany, OH 43054 | 2017-10-30 |
| 1972913200 | Dr. Timothy J. Backiewicz, D.d.s., Inc. | Dentist | 68 N. High St., Building F, New Albany, OH 43054 | 2014-05-08 |
| 1497062624 | Kenzi Michelle Schafer | Physician Assistant | 102 W Main St Unit 175, New Albany, OH 43054 | 2010-09-09 |
| 1215248133 | Amanda Esch | Nurse Practitioner | 102 W. Main St. #175, New Albany, OH 43054 | 2010-06-24 |
| 1396063988 | Sarah Westbrook | Licensed Practical Nurse | 5781 Halton Gill Ln., New Albany, OH 43054 | 2010-05-07 |
| 1821326125 | Wesley Hospice, LLC | Hospice Care, Community Based | 4588 Wesley Woods Blvd Ste 2a, New Albany, OH 43054 | 2009-11-24 |
| 1033326319 | Heather Lynn Benjamin | Physical Therapy Assistant | 7277 Smith's Mill Rd., Suite 300, Ne Albany, OH 43054 | 2007-05-17 |
| 1548483670 | Jimmy M Henry | Physical Medicine & Rehabilitation | 5051 Forest Dr, New Albany, OH 43054 | 2007-04-10 |
| Find all providers in zip 43054 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427523901 | Robyn Mackenzie Taylor | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892124 | Absolute Kinetics Physical Therapy, LLC | Physical Therapist | 2128 Madison Rd, Cincinnati, OH 45208-3287 | 2020-08-18 |
| 1962011460 | Kaitlin Marie Bronikowski | Physical Therapist | 925 N State St Ste G, Westerville, OH 43082-8023 | 2020-07-30 |
| 1144857145 | Tyler James Hewett | Physical Therapist | 7010 Engle Rd Ste 105, Middleburg Heights, OH 44130-8401 | 2020-03-27 |
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1477184646 | Competitive Edge Physical Therapy and Performance | Physical Therapist | 5754 Thorton St Apt 103, Westerville, OH 43081-7196 | 2020-01-28 |
| 1902362692 | Onsite Pt LLC | Physical Therapist | 576 Industrial Pkwy, Chagrin Falls, OH 44022-4413 | 2019-02-18 |
| 1356805543 | Shawn R Notarione | Physical Therapist | 50 Baker Blvd Ste O, Fairlawn, OH 44333-3674 | 2019-01-22 |
| 1780156810 | Matthew Adam Longfellow | Physical Therapist | 1195 Chesapeake Ave, Columbus, OH 43212-2238 | 2018-12-31 |
| 1992276422 | Carolyn Sue Rauh | Physical Therapist | 150 Schwieterman St, Minster, OH 45865-8729 | 2018-12-10 |
| 1629547708 | Maureen Bauman | Physical Therapist | 5 Severance Cir Ste 115, Cleveland Heights, OH 44118-1513 | 2018-11-18 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 43054 |
Please comment or provide details below to improve the information on KELLY PESTER.
| 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.