ANGELA M KELLY (NPI# 1205180718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205180718 |
| Entity Type | Individual |
| Full Name | ANGELA M KELLY |
| Credential | OTR/L |
| Practice Address |
3261 Hwy 49 South Va State Home/collins Collins MS 39428 |
| Mailing Address |
P.o. Box 315 Ridgeland MS 39158 |
| Practice Telephone | 6012069195 |
| Practice Fax Number | 6019578391 |
| Mailing Telephone | 6012069195 |
| Mailing Fax Number | 6019578391 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT0277 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276485 | Angela Wilson Kelly | Counselor | 907 Haviland Dr, Vestavia Hills, AL 35216-2330 | 2019-10-09 |
| 1992115547 | Angela Kelly | Custodial Care Facility | 720 Valley Forge Rd, Jacksonville, FL 32208-3566 | 2014-05-05 |
| 1205899358 | Angela Dawn Kelly | Chiropractor | 4329 Easton Ave, Bethlehem, PA 18020-1431 | 2006-04-10 |
| 1568956373 | Angela Diane Kelly | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2018-06-15 |
| 1366963514 | Angela Dawn Kelly | Pharmacist | 555 W Marion Rd, Mount Gilead, OH 43338-1025 | 2017-06-28 |
| 1699015248 | Angela Elena Kelly | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2013-02-19 |
| 1497015143 | Angela K Kelly | Social Worker | 822 Washington St, Montpelier, ID 83254-1423 | 2012-05-28 |
| 1962732784 | Angela Kelly | Community Health Worker | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2009-12-29 |
| 1851444392 | Angela M Kelly | Speech-Language Pathologist | 17929 Gottschalk Ave, Homewood, IL 60430-1709 | 2007-01-19 |
| 1174671689 | Angela J. Kelly | Nurse Anesthetist, Certified Registered | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-01-08 |
| Street Address |
3261 HWY 49 SOUTH VA STATE HOME/COLLINS |
| City | COLLINS |
| State | MS |
| Zip Code | 39428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1366075236 | Pine Ridge Family Clinic, LLC | Nurse Practitioner | 3248 Highway 49, Collins, MS 39428 | 2020-02-19 |
| 1245874981 | Kim Michelle Stubbs | Nurse Practitioner | 77 Cmj Drive, Collins, MS 39428 | 2019-11-06 |
| 1558911800 | William Clyde Saulters | Technician | 749 Seminary Mike Conner Rd, Collins, MS 39428 | 2019-09-18 |
| 1053862524 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 104 Carver Drive, Collins, MS 39428 | 2016-10-20 |
| 1184973737 | Stephen Caleb Williamson | Pharmacist | 801 Main Street, Collins, MS 39428 | 2012-08-29 |
| 1760749691 | Christy Leggett | Occupational Therapy Assistant | 29 Martin Ln, Collins, MS 39428 | 2012-04-17 |
| 1013205350 | Covington County Hospital | Clinic/Center | 3275 Hwy 49, Suite E, Collins, MS 39428 | 2011-07-20 |
| 1225351562 | Covington County School District | Local Education Agency (LEA) | 1211 South Dogwood Avenue, Collins, MS 39428 | 2010-03-01 |
| 1508024548 | Weston Edmonds Folse | Family Medicine | 116 Par Drive, Collins, MS 39428 | 2008-05-27 |
| Find all providers in zip 39428 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502099 | Madison Colley | Occupational Therapist | 3261 Highway 49, Collins, MS 39428-3876 | 2020-09-14 |
| 1356960017 | Christopher Hannick | Occupational Therapist | 3261 Highway 49, Collins, MS 39428-3876 | 2020-04-13 |
| 1679028732 | Ashley Jones | Occupational Therapist | 3261 Highway 49, Collins, MS 39428-3876 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867088 | Julia Hovatter | Occupational Therapist | 4700 Hardy St Ste J1, Hattiesburg, MS 39402-1300 | 2020-10-07 |
| 1770197089 | Ashton Allard | Occupational Therapist | 4709 Highway 22, Flora, MS 39071-9512 | 2020-09-03 |
| 1194338079 | Lauren Elizabeth Laenen | Occupational Therapist | 147 S Brooks St, Pontotoc, MS 38863-2950 | 2020-08-28 |
| 1770196123 | Brooke Ann Thomas | Occupational Therapist | 627 Middleton Rd Ste 100, Winona, MS 38967-2000 | 2020-08-26 |
| 1619517869 | Cristen N Sudduth | Occupational Therapist | 374 Savanna St, Jackson, MS 39212-5257 | 2020-01-15 |
| 1659911246 | Madison Casey Hayes | Occupational Therapist | 5271 Getwell Rd # Suittea, Southaven, MS 38672-9608 | 2020-01-10 |
| 1497391106 | Takisha Kayon Stallings-richards | Occupational Therapist | 4744 We Ross Pkwy Apt 50-201, Southaven, MS 38671-7003 | 2019-11-18 |
| 1407490352 | Kelli Snider | Occupational Therapist | 402 Natchez Ave, Brookhaven, MS 39601-4058 | 2019-11-04 |
| 1871136663 | Holly Stidham Loper | Occupational Therapist | 600 Rollingwood Dr, Vicksburg, MS 39183-6930 | 2019-10-24 |
| 1972153039 | Marlee Taylor | Occupational Therapist | 503 Constitution Drive, Iuka, MS 38852-8201 | 2019-09-19 |
| 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.