MRS. KELLY SHEA MARTIN (NPI# 1316013360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316013360 |
| Entity Type | Individual |
| Full Name | MRS. KELLY SHEA MARTIN |
| Credential | P.T. |
| Practice Address |
3605 Executive Dr San Angelo TX 76904-6884 |
| Mailing Address |
4601 Hartford St Abilene TX 79605-4603 |
| Practice Telephone | 3252245383 |
| Practice Fax Number | 3252245442 |
| Mailing Telephone | 3257933400 |
| Mailing Fax Number | 3257933587 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1091502 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100111 | Kelly Martin | Speech-Language Pathologist | 948 Dinosaur Dr, Erie, CO 80516-6576 | 2019-12-02 |
| 1386298677 | Kelly Marie Martin | Licensed Practical Nurse | 909 S Michael St, Saint Marys, PA 15857-3030 | 2019-07-25 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1679098727 | Kelly Lynn Martin | Massage Therapist | 6537 Fairlane Dr, Boston, NY 14025-9637 | 2017-08-10 |
| 1891231379 | Kelly Martin | Speech-Language Pathologist | 3513 Indian Oaks Ln, Toledo, OH 43617-3007 | 2017-01-09 |
| 1376900654 | Kelly Ann Martin | Counselor | 5501 Pandale Valley Dr, Mckinney, TX 75071-7721 | 2016-01-18 |
| 1245616481 | Kelly A Martin | Counselor | 8180 Eagle Mountain Cir, Fort Worth, TX 76135-9531 | 2015-08-10 |
| 1316330178 | Kelly Martin | Rehabilitation Practitioner | 12111 N 66th Ave, Glendale, AZ 85304-1625 | 2015-03-17 |
| 1538563077 | Kelly Ann Martin | Counselor | 15208 County Road 1835, Lubbock, TX 79424-8520 | 2014-10-13 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Street Address |
3605 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716264 | San Angelo Ambulatory Surgery Center | Clinic/Center | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2005-11-08 |
| 1497233134 | Brittney Hughes | Specialist/Technologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2018-08-03 |
| 1275954232 | Michael Matthews | Physician Assistant | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2013-12-18 |
| 1326384553 | Soheil Daftarian | Ophthalmology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-12-16 |
| 1134463300 | Melissa Mcarthur | Audiologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-11-12 |
| 1134472509 | Kayla Joy Gibbs | Nurse Practitioner | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-10-22 |
| 1124383567 | Michael Keesey Boyd | Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-07-11 |
| 1790065936 | Jessie Hoak | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2011-08-19 |
| 1427297506 | Jennifer D Slaven | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2009-02-12 |
| 1144485756 | West Texas Medical Associates | Family Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| 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 |
|---|---|---|---|---|
| 1104208701 | Aeron Paul Salonga Punzalan | Physical Therapist | 3433 Arden Rd Apt 223, San Angelo, TX 76901-2751 | 2015-06-19 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1326214032 | Tracy Romatowski | Physical Therapist | 1041 W Fm 2105, San Angelo, TX 76901-8074 | 2008-05-02 |
| 1003094038 | Catherine L Cuenca-torres | Physical Therapist | 3569 Dominion Rdg, San Angelo, TX 76904-8144 | 2008-01-31 |
| 1912123498 | Jennifer Trudeau | Physical Therapist | 4864 Greenbriar St Apt 81, San Angelo, TX 76904-7538 | 2007-04-17 |
| 1346357316 | Heather J. Braden | Physical Therapist | Asu Sta # 10923, San Angelo, TX 76909-0001 | 2006-08-24 |
| 1093766537 | Brett Carpenter Pt, Pllc | Physical Therapist | 3126 Appaloosa Cr, San Angelo, TX 76901 | 2006-05-12 |
| 1174572994 | Brett Ward Carpenter | Physical Therapist | 3126 Appaloosa Cir, San Angelo, TX 76901-5225 | 2006-05-09 |
| 1629054077 | Joseph Owen | Physical Therapist | 4450 Sunset Dr, San Angelo, TX 76901-5611 | 2005-12-19 |
| 1316920200 | Gina Karr | Physical Therapist | 3001 S Jackson St, San Angelo, TX 76904-5129 | 2005-11-23 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.