KELLI RENAE PETTIJOHN (NPI# 1417439977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417439977 |
| Entity Type | Individual |
| Full Name | KELLI RENAE PETTIJOHN |
| Practice Address |
1133 College Ave Manhattan KS 66502-2770 |
| Mailing Address |
31015 K18 Hwy Wamego KS 66547-8024 |
| Practice Telephone | 7855399669 |
| Mailing Telephone | 7855774881 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 14-03179 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1133 COLLEGE AVE |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
| 1922615806 | Christina Guhr | Nurse Practitioner | 1133 College Ave, Manhattan, KS 66502-2770 | 2020-09-25 |
| 1063907376 | Prism Diagnostics, LLC | Clinical Medical Laboratory | 1133 College Ave, Building C, Suite 145, Manhattan, KS 66502-2751 | 2018-06-28 |
| 1396266060 | Stacey L Marti | Physical Therapist | 1133 College Ave, Manhattan, KS 66502-2770 | 2017-07-03 |
| 1457891244 | Gilberto Magallanes | Occupational Therapy Assistant | 1133 College Ave, A213, Manhattan, KS 66502-2770 | 2017-02-28 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| 1255875852 | Dental Associates of Manhattan LLC | Dentist | 1133 College Ave, Suite D202, Manhattan, KS 66502-2770 | 2016-12-15 |
| 1457802613 | Laura Simons | Behavioral Analyst | 1133 College Ave, Manhattan, KS 66502-2770 | 2016-10-21 |
| 1528517901 | No Stone Unturned Foundation | Clinic/Center | 1133 College Ave, Suite A213, Manhattan, KS 66502-2770 | 2016-09-27 |
| 1225583099 | Kylene Caquelin | Behavioral Analyst | 1133 College Ave, A213, Manhattan, KS 66502-2770 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| 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 |
|---|---|---|---|---|
| 1003280165 | Kevin Henry | Physical Therapy Assistant | 3420 Robin Rd, Manhattan, KS 66503-2218 | 2015-11-30 |
| 1851704951 | Ashley Pawlak | Physical Therapy Assistant | 240 S. Park St., Manhattan, IL 60442 | 2014-06-05 |
| 1699054585 | Jacqueline Christine Battaglia | Physical Therapy Assistant | 426a Mccall Road, Manhattan, KS 66502 | 2011-08-09 |
| 1326356957 | Shawna Lee Seirer | Physical Therapy Assistant | 2021 Vanesta Place, Suite C, Manhattan, KS 66503-0381 | 2010-09-16 |
| 1285820688 | Jennifer Hawkinson | Physical Therapy Assistant | 340 Twykingham Pl, Manhattan, KS 66503-3024 | 2007-09-19 |
| 1689274961 | Kennedy Nunneley | Physical Therapy Assistant | 1133 College Ave Ste G200, Manhattan, KS 66502-2934 | 2020-10-27 |
| 1821619875 | Edward Thomas Ernst Jr. | Physical Therapy Assistant | 2121 Meadowlark Rd, Manhattan, KS 66502-4521 | 2020-04-30 |
| 1710452651 | Shelby Lea Herndon | Physical Therapy Assistant | 1133 College Ave Ste G200, Manhattan, KS 66502-2934 | 2018-10-08 |
| 1124519434 | Catherine Chloe Weeks | Physical Therapy Assistant | 2025 Little Kitten Ave, Manhattan, KS 66503-7545 | 2018-05-22 |
| 1780190470 | Blair Jordan Bloomfield | Physical Therapy Assistant | 1600 Charles Pl, Manhattan, KS 66502-2750 | 2017-12-18 |
| Find all providers in MANHATTAN | ||||
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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.