MRS. KELLIE MOORE (NPI# 1255744090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255744090 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE MOORE |
| Credential | DPT |
| Practice Address |
2319 Prince Ave Athens GA 30606-6030 |
| Practice Telephone | 7065487300 |
| Practice Fax Number | 7065487870 |
| Mailing Telephone | 7065487300 |
| Mailing Fax Number | 7065487870 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT011472 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1548760580 | Kellie Moore | Registered Nurse | 3315 Marquart St Ste 209, Houston, TX 77027-6027 | 2018-02-16 |
| 1942705140 | Kellie Lynn Moore | Dentist | 251 E Huron St, Chicago, IL 60611 | 2018-03-28 |
| 1437544079 | Kellie Moore | Pediatrics | Msc10 5590 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-03-31 |
| 1932487303 | Kellie Moore | Counselor | 3670 Highlands Pkwy Se, Building 6, Smyrna, GA 30082-5184 | 2011-08-02 |
| Street Address |
2319 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316965221 | Larry L Medders | Specialist | 2319 Prince Ave, Athens, GA 30606-6030 | 2006-07-18 |
| 1982216610 | Joshua Nolan Bloodworth | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2020-08-24 |
| 1780239905 | Phillip Rustin | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2019-08-05 |
| 1851874556 | Katie Hammond | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2018-09-10 |
| 1003331588 | Nidhi Patel | Physical Medicine & Rehabilitation | 2319 Prince Ave, Athens, GA 30606-6030 | 2017-08-07 |
| 1740696764 | Therapy South Athens LLC | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2014-07-10 |
| 1043466956 | Bret Harrison Joiner | Physical Therapist | 2319 Prince Ave, Athens, GA 30606-6030 | 2008-08-12 |
| 1073607362 | Jimmy Haralson Wood Jr. | Specialist | 2319 Prince Ave, Athens, GA 30606-6030 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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 |
|---|---|---|---|---|
| 1194339796 | Sarah Schmitz | Physical Therapist | 22454 Us Highway 72 # 210, Athens, AL 35613-2609 | 2020-09-02 |
| 1932733300 | Karista Mae Ferguson | Physical Therapist | 2101 E State St Ste C, Athens, OH 45701-2150 | 2020-02-25 |
| 1588201602 | Lucille L Milen | Physical Therapist | 1025 Crestway Dr, Athens, TN 37303-4152 | 2019-12-09 |
| 1932757739 | Timothy Ray Helton Jr. | Physical Therapist | 22454 Us Highway 72 Ste 210, Athens, AL 35613-2609 | 2019-08-27 |
| 1811557408 | Susan Traci Pruett | Physical Therapist | 755 Epps Bridge Pkwy Apt 242, Athens, GA 30606-8303 | 2019-06-17 |
| 1285299503 | Alliance Physical Therapy LLC | Physical Therapist | 901 Congress Pkwy N, Athens, TN 37303-1705 | 2019-05-02 |
| 1548721988 | Zach Collett | Physical Therapist | 723 Baxter St Apt 7e, Athens, GA 30605-1176 | 2019-03-28 |
| 1265902605 | Emily Pearson | Physical Therapist | 801 Riverhill Dr Apt 741, Athens, GA 30606-8216 | 2018-11-28 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| 1699263517 | Angela Diane Whaley | Physical Therapist | 130 County Road 116, Athens, TN 37303-6195 | 2018-04-26 |
| Find all providers in ATHENS | ||||
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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.