KELLY OTIS (NPI# 1407327968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407327968 |
| Entity Type | Individual |
| Full Name | KELLY OTIS |
| Credential | RPT |
| Practice Address |
108 Whispering Pines Dr Ste 120 Scotts Valley CA 95066-4792 |
| Practice Telephone | 8314408304 |
| Mailing Telephone | 8314408304 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | PT1778 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
108 WHISPERING PINES DR STE 120 |
| City | SCOTTS VALLEY |
| State | CA |
| Zip Code | 95066-4792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861046377 | Nannette Benedict Dds Associates | Dentist | 5015 Scotts Valley Drive, Scotts Valley, CA 95066 | 2019-08-01 |
| 1457836314 | Erin Burton Josselyn | Social Worker | 125 Bethany Dr Ste 203, Scotts Valley, CA 95066 | 2018-09-26 |
| 1770010068 | Onesource Compounding Pharmacy | Pharmacy | 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 | 2017-05-17 |
| 1912393612 | Living Evolution: An Outdoor Experiential Learning Program Inc. | Nutritionist | 6001 Buttler Lane, Suite 206, Scotts Valley, CA 95066 | 2015-04-09 |
| 1750638375 | Denise Louise Quinn | Physical Therapist | 108 Whispering Pines Drive, Scotts Valley, CA 95066 | 2012-08-14 |
| 1194047100 | Kim Ann Chavez | Registered Nurse | 3650 Graham Hill Road, Juvenile Hall Nursing Unit, Santa Cruz, CA 95066 | 2010-02-17 |
| 1972755536 | Bethany University Counseling Center | Marriage & Family Therapist | 800 Bethany Drive, Scotts Valley, CA 95066 | 2008-10-15 |
| 1336343383 | Ali Eppy | Marriage & Family Therapist | 4113 Scotts Valley Drive, Suite 205, Scotts Valley, CA 95066 | 2007-06-13 |
| 1699825265 | Julie Carboni | Marriage & Family Therapist | 125 Bethany Drive Ste. N, Scotts Valley, CA 95066 | 2007-01-12 |
| 1902982143 | John A Stevens Dds Inc | Dentist | 221 H Mount Hermon Road, Scotts Valley, CA 95066 | 2006-10-31 |
| Find all providers in zip 95066 | ||||
| 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 |
|---|---|---|---|---|
| 1477154730 | Drew Matthew Lemay | Physical Medicine & Rehabilitation | 2501 S El Camino Real, San Clemente, CA 92672-3350 | 2020-11-03 |
| 1821698325 | Karen Pena | Physical Medicine & Rehabilitation | 930 S Mount Vernon Ave, Grand Terrace, CA 92324-3928 | 2020-10-26 |
| 1104423052 | Prehab LLC | Physical Medicine & Rehabilitation | 10405 Sd Mssn Rd Ste 103105, San Diego, CA 92108-2102 | 2020-10-05 |
| 1699381517 | Paige Lauren Stephens | Physical Medicine & Rehabilitation | 6961 Los Amigos Cir, Huntington Beach, CA 92647-6659 | 2020-09-16 |
| 1740895788 | Rebecca Niamtu | Physical Medicine & Rehabilitation | 364 S Cloverdale Ave, Los Angeles, CA 90036-3478 | 2020-09-15 |
| 1245845296 | Brianna Brooskin | Physical Medicine & Rehabilitation | 2850 Adrian St Apt 102, San Diego, CA 92110-5700 | 2020-09-15 |
| 1366057622 | Jaime Lyn Kelley | Physical Medicine & Rehabilitation | 10213 Tillicum Way, Nevada City, CA 95959-2019 | 2020-09-14 |
| 1346853868 | Edwin Castillo | Physical Medicine & Rehabilitation | 767 Freeman Ave Apt 3, Long Beach, CA 90804-4988 | 2020-08-25 |
| 1225640675 | Hema Kamal | Physical Medicine & Rehabilitation | 1049 El Monte Ave, Mountain View, CA 94040-2398 | 2020-08-18 |
| 1760094338 | Bayhealth Connect LLC | Physical Medicine & Rehabilitation | 30 Union Ave Ste 210, Campbell, CA 95008-3162 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTS VALLEY |
| Zip Code | 95066 |
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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.