MIKE KELO PHYSICAL THEREPAY, PLLC (NPI# 1346499928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346499928 |
| Entity Type | Organization |
| Organization Name | MIKE KELO PHYSICAL THEREPAY, PLLC |
| Practice Address |
11928 Iron Bridge Plz Chester VA 23831-1441 |
| Mailing Address |
11801 Braystone Ln Chesterfield VA 23838-5303 |
| Practice Telephone | 8043668518 |
| Practice Fax Number | 8047784522 |
| Mailing Telephone | 8043668518 |
| Mailing Fax Number | 8047784522 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | MR. MICHAEL JOHN KELO (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8043668518 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305002847 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STF191889 | 05 |
| Street Address |
11928 IRON BRIDGE PLZ |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578524203 | Michael J Kelo | Physical Therapist | 11928 Iron Bridge Plz, Chester, VA 23831-1441 | 2006-03-31 |
| 1609124882 | Rebecca S Ayers | Physical Therapist | 11928 Iron Bridge Plz, Chester, VA 23831-1441 | 2012-08-20 |
| 1548370299 | Mikal D Davis | Physical Therapist | 11928 Iron Bridge Plz, Chester, VA 23831-1441 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089647 | Trinity Rehab Somerset Pa | Clinic/Center | 430 Us Highway 206 S Spc A114, Chester, NJ 07930-2493 | 2020-07-06 |
| 1750754636 | Progressive Physical Therapy Options, Pllc | Clinic/Center | 306 Black Meadow Rd, Chester, NY 10918-2227 | 2015-11-02 |
| 1255681045 | Summit Physical Therapy Incorporation | Clinic/Center | 118 Carolina Ave, Chester, WV 26034-1111 | 2012-09-19 |
| 1003032541 | Goradia Orthopedics, Pllc | Clinic/Center | 281 East Hundred Rd, Chester, VA 23836 | 2007-04-17 |
| 1861757361 | Memorial Hospital of Chester | Clinic/Center | 1900 State St, Chester, IL 62233-1116 | 2012-07-10 |
| 1285934380 | Living Well Physical Therapy LLC | Clinic/Center | 184 Raymond Rd, Chester, NH 03036-4127 | 2010-10-24 |
| 1821305145 | Pt Solutions Chester, Pllc | Clinic/Center | 281 E Hundred Rd, Chester, VA 23836-2613 | 2010-09-08 |
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|---|---|---|---|---|
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| 1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
| 1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
| 1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
| 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.