KELLY GRAHAM (NPI# 1134669682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134669682 |
| Entity Type | Individual |
| Full Name | KELLY GRAHAM |
| Practice Address |
601 Custis Rd Glenside PA 19038-2013 |
| Practice Telephone | 2159392474 |
| Mailing Telephone | 2159392474 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649446774 | Kelly Ann Graham | Occupational Therapist | 161 Se 5th Ct, Pompano Beach, FL 33060-7164 | 2008-05-08 |
| 1447239629 | Kelly Leigh Graham | Optometrist | 113 N Plaza Ct, Van Buren, AR 72956-2269 | 2006-01-16 |
| 1396258232 | Kelly Marie Graham | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2017-11-14 |
| 1720530629 | Kelly Graham | Nurse Practitioner | 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 | 2016-10-26 |
| 1780031625 | Kelly Ann Graham | Physical Therapy Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2016-05-20 |
| 1174915862 | Kelly Graham | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2015-03-04 |
| 1750783981 | Kelly Graham | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2014-09-18 |
| 1417369240 | Kelly Graham | Massage Therapist | 10021 Holman Rd Nw, Seattle, WA 98177-4920 | 2014-05-28 |
| 1821410309 | Kelly Jean Graham | Behavioral Analyst | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2014-01-17 |
| 1588093157 | Kelly Graham | Physician Assistant | 960 Johnson Ferry Rd, Ste 100, Atlanta, GA 30342-1631 | 2013-11-05 |
| Street Address |
601 CUSTIS RD |
| City | GLENSIDE |
| State | PA |
| Zip Code | 19038-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639723042 | Kristen Lea Badawy | Nurse Practitioner | 910 East Willow Grove, Wyndmoor, PA 19038 | 2019-07-25 |
| 1437634581 | Francis Anthony Angiolillo | Physical Therapist | 417 Montier Rd, Glenside, PA 19038 | 2018-09-25 |
| 1760972277 | Eminence Home Care LLC | In Home Supportive Care | 32541 Chestnut St, #800, Philadelphia, PA 19038 | 2018-05-10 |
| 1346764875 | Carly Michel Mcdade | Marriage & Family Therapist | 629 Bethlehem Pike, Erdenheim, PA 19038 | 2017-07-26 |
| 1639606015 | Leslie Aurino | Acupuncturist | 7817-b Queen Street, Wyndmoor, PA 19038 | 2017-05-17 |
| 1255765962 | Albert Vincent La Rocca | Dentist | 111 N. Easton Rd., Glenside, PA 19038 | 2013-08-29 |
| 1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
| 1588895817 | Marie C. Kelly-tralies | Nurse Practitioner | 2704 Spear Ave, Glenside, PA 19038 | 2009-08-04 |
| 1477781946 | James P. Soulges | Family Medicine | 7607 Louise Lane, Glenside, PA 19038 | 2009-06-23 |
| 1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
| Find all providers in zip 19038 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674874 | Lee Deheer | Specialist/Technologist | 212 Harrison Ave, Glenside, PA 19038-3904 | 2019-08-16 |
| 1619441912 | Jovon Petty | Specialist/Technologist | 629 Laverock Rd, Glenside, PA 19038-2817 | 2019-01-20 |
| 1720560220 | John Waldinger | Specialist/Technologist | 525 Roberts Ave, Glenside, PA 19038-3708 | 2018-08-30 |
| 1811448988 | Justin Cobb | Specialist/Technologist | 845 G Ave, Glenside, PA 19038-1806 | 2016-10-24 |
| 1164077574 | Danielle M Duffy | Specialist/Technologist | 450 S Easton Rd, Glenside, PA 19038-3215 | 2019-08-03 |
| 1497231088 | Heather Marie Olex | Specialist/Technologist | 450 S Easton Rd, Glenside, PA 19038-3215 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.