KELLY JO MAXWELL (NPI# 1295032142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295032142 |
| Entity Type | Individual |
| Full Name | KELLY JO MAXWELL |
| Practice Address |
3041 Charlevoix Dr Se Grand Rapids MI 49546-7035 |
| Practice Telephone | 6169427200 |
| Mailing Telephone | 6169427200 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | L1680636 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855416 | Kelly Maxwell | Physical Therapy Assistant | 6351 S Desert Blvd Bldg C, El Paso, TX 79932-1219 | 2019-08-01 |
| 1730687328 | Kelly Maxwell | Nurse Practitioner | 700 E University Ave, Des Moines, IA 50316-2302 | 2018-01-29 |
| 1861727109 | Kelly Ann Maxwell | Counselor | 9378 Olive Blvd, Ste. 317, Saint Louis, MO 63132-3215 | 2009-10-05 |
| 1528216108 | Kelly Marie Maxwell | Urology | 676 N Saint Clair St, Suite 1835, Chicago, IL 60611-2927 | 2008-09-08 |
| 1083802565 | Kelly Maxwell | Pharmacist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2007-10-09 |
| 1972651669 | Kelly A Maxwell | Nurse Practitioner | 7125 Saltsburg Rd, Pittsburgh, PA 15235-2252 | 2007-01-08 |
| Street Address |
3041 CHARLEVOIX DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487629085 | Robert Wichlacz | Physical Medicine & Rehabilitation | 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 | 2006-02-17 |
| 1659913465 | Ms Cascade Hs, LLC | Assisted Living Facility | 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 | 2019-10-14 |
| 1851693576 | Michele Luise Potter | Physical Therapist | 3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1447814082 | Nikunjkumar Prakashbhai Patel | Physical Therapy Assistant | 3370 Plainfield Ave Ne, Grand Rapids, MI 49525-2721 | 2019-04-29 |
| 1881195774 | Dawn Marie Kregel | Physical Therapy Assistant | 2589 44th St Se, Grand Rapids, MI 49512-3877 | 2018-02-26 |
| 1154763431 | Anna M Bennett | Physical Therapy Assistant | 473 Bayberry Pointe Dr Nw Apt A, Grand Rapids, MI 49534-8000 | 2013-07-26 |
| 1750640801 | Kelly Marie Wood | Physical Therapy Assistant | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-05-10 |
| 1447557186 | Sarah B Trent | Physical Therapy Assistant | 4260 Nature Trail Dr Se Apt 2a, Grand Rapids, MI 49512-3848 | 2011-02-15 |
| 1023270295 | Kevin Jon Eickhoff | Physical Therapy Assistant | 1140 Monroe Ave Nw Ste 150, Grand Rapids, MI 49503-1055 | 2008-06-30 |
| 1386803070 | Jeffrey Zagaroli | Physical Therapy Assistant | 2600 Pineview Dr Ne, Grand Rapids, MI 49525-6706 | 2008-06-06 |
| 1356558324 | Judy Lynn Wallis | Physical Therapy Assistant | Marywood Health Center, 111 Lakeside Drive Ne, Grand Rapids, MI 49503 | 2007-05-17 |
| 1164533956 | Sheryl Ann Pylman | Physical Therapy Assistant | 2591 44th St Se, #101, Grand Rapids, MI 49512-9094 | 2006-08-31 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.