MR. KELLY WYNELL ELLIS (NPI# 1205455789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205455789 |
| Entity Type | Individual |
| Full Name | MR. KELLY WYNELL ELLIS |
| Credential | PTA |
| Practice Address |
5502 San Juan Dr Toledo OH 43612-3336 |
| Practice Telephone | 4194107741 |
| Mailing Telephone | 4194107741 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | PTA007644 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1194346759 | Kelly Nicole Ellis | Registered Nurse | 13819 County Road 1131, Flint, TX 75762-2419 | 2020-05-05 |
| 1306348834 | Kelly Ellis | Chore Provider | 5033 Saint Annes Dr, Las Vegas, NV 89149-5717 | 2018-02-28 |
| 1104226109 | Kelly Ellis | Student in an Organized Health Care Education/Training Program | 9621 Fontainebleau Blvd, 515, Miami, FL 33172-6814 | 2014-08-26 |
| 1992014971 | Kelly Michelle Ellis | Technician, Pathology | 4230 Tree Moss Pl, Humble, TX 77346-4560 | 2010-09-24 |
| 1417189929 | Kelly Pinney Ellis | Counselor | 404 Broadway St, Suite B, South Haven, MI 49090-1421 | 2009-08-17 |
| 1922233246 | Kelly Abbott Ellis | Physical Therapist | 4953 Macaw Ct Ne, Marietta, GA 30066-1286 | 2009-05-17 |
| 1407941057 | Kelly Leigh Ellis | Family Medicine | 301 N 27th St Ste 2, Norfolk, NE 68701-4457 | 2006-10-03 |
| 1073548186 | Kelly Ann Ellis | Social Worker | 39760 Black Mesa Ln, Palm Desert, CA 92260 | 2006-07-11 |
| 1760778559 | Kelly Ellis | Occupational Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2011-06-21 |
| Street Address |
5502 SAN JUAN DR |
| City | TOLEDO |
| State | OH |
| Zip Code | 43612-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296481 | Alyssa Ellis | Registered Nurse | 3821 Revere Drive, Toledo, OH 43612 | 2019-03-29 |
| 1235603838 | Kimberly R Lockhart | Counselor | 1701 W. Sylvania Ave., Toledo, OH 43612 | 2019-01-16 |
| 1770054264 | Brandy Michelle Gore | Case Manager/Care Coordinator | 1711 Sylvania Ave, Toledo, OH 43612 | 2018-12-10 |
| 1457868135 | Gwendolyn Rita Tucker | Technician | 206 Waggoner, Toledo, OH 43612 | 2018-01-04 |
| 1205359593 | Brittany Leann Davis | Licensed Practical Nurse | 738 W Poinsetta, Toledo, OH 43612 | 2017-07-19 |
| 1619406261 | Sarah Jean Lawrence | Technician | 3814 Berkeley Dr, Toledo, OH 43612 | 2017-06-07 |
| 1497298145 | Cathy Hebert | Home Health Aide | 4144 Caroline Ave, Toledo, OH 43612 | 2016-11-29 |
| 1740572122 | Robert Edward Dorrell | Pharmacist | 1012 W. Sylvania Ave, Toledo, OH 43612 | 2011-05-04 |
| 1053611525 | Gensis | Skilled Nursing Facility | 330 West Crawford Ave, Toledo, OH 43612 | 2010-10-29 |
| 1821206665 | Best At Home Healthcare Services, LLC | Home Health | 33 New Towne Sq Dr., Suite B, Toledo, OH 43612 | 2007-05-17 |
| Find all providers in zip 43612 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598151821 | Timothy H. Sigman Md, LLC | Physical Medicine & Rehabilitation | 4045 Nantuckett Dr, Toledo, OH 43623-3220 | 2015-04-14 |
| 1942337340 | William D Hieronimus | Physical Medicine & Rehabilitation | 4126 Holland Sylvania Rd, Ste 170, Toledo, OH 43623 | 2007-02-27 |
| 1568453355 | Healtherapy Partners Inc | Physical Medicine & Rehabilitation | 3318 Glanzman Rd, Toledo, OH 43614 | 2005-11-02 |
| 1386642726 | Steven J Farrell | Physical Medicine & Rehabilitation | 3065 Arlington Ave, Toledo, OH 43614-2570 | 2005-07-11 |
| 1356347124 | Rekha Trivedi | Physical Medicine & Rehabilitation | 3900 Sunforest Ct, Ste 215, Toledo, OH 43623-4440 | 2005-06-24 |
| 1053316224 | Susan G. Rice | Physical Medicine & Rehabilitation | 419 N Reynolds, Toledo, OH 43615 | 2005-06-15 |
| 1831708346 | Leah Taylor | Physical Medicine & Rehabilitation | 3306 Meijer Dr, Toledo, OH 43617-3103 | 2020-07-30 |
| 1649764267 | Adam Schwark | Physical Medicine & Rehabilitation | 3000 Arlington Ave # Ms 1086, Toledo, OH 43614-2598 | 2018-06-18 |
| 1083034003 | Ashley Christine Schneider | Physical Medicine & Rehabilitation | 1000 Regency Ct, Toledo, OH 43623 | 2014-04-17 |
| 1780973180 | Kevin Robert Dankert | Physical Medicine & Rehabilitation | 2865 N Reynolds Rd, Toledo, OH 43615-2068 | 2011-04-06 |
| Find all providers in TOLEDO | ||||
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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.