ZACHARY W KELLY (NPI# 1528561602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528561602 |
| Entity Type | Individual |
| Full Name | ZACHARY W KELLY |
| Credential | ATC |
| Practice Address |
54 Bailly Dr Burlington NJ 08016-4289 |
| Practice Telephone | 6092512464 |
| Mailing Telephone | 6092512464 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447713516 | Zachary Alan Kelly | Behavior Technician | 54021 Lynnham Ln, Shelby Twp, MI 48316-1418 | 2019-04-07 |
| 1407327273 | Zachary T Kelly | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2018-12-05 |
| 1942706239 | Zachary Kelly | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2018-04-04 |
| Street Address |
54 BAILLY DR |
| City | BURLINGTON |
| State | NJ |
| Zip Code | 08016-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
| 1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
| 1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
| 1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
| 1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
| 1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
| 1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in zip 08016 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1518501667 | John Gibbon | Specialist/Technologist | 432 Dunford Dr, Burlington, WI 53105-2319 | 2019-11-01 |
| 1023651866 | Andrew John Nadeau | Specialist/Technologist | 192 Park St Unit 1, Burlington, VT 05401-5118 | 2019-10-24 |
| 1861035602 | Barbara Anne Murray Dimaio | Specialist/Technologist | 407 College St Apt 3, Burlington, VT 05401-3459 | 2019-10-24 |
| 1548815855 | Deana Pearson | Specialist/Technologist | 1782 10th Rd, Burlington, KS 66839-9088 | 2019-08-04 |
| 1649834821 | Courtnee Springs | Specialist/Technologist | 5049 Patillo Church Rd, Burlington, NC 27217-7850 | 2019-04-24 |
| 1578040671 | Alanie Jeannette Welch | Specialist/Technologist | 10584 S Nc Highway 62, Burlington, NC 27217-8451 | 2018-07-23 |
| 1316449762 | Gabriela Marie Zimbron | Specialist/Technologist | 40 Arlington Ct, Burlington, VT 05408-2501 | 2018-03-01 |
| 1285132795 | Christopher Robinson | Specialist/Technologist | Rowell Building Carrigan Dr, University of Vermont, Burlington, VT 05401-0540 | 2018-01-30 |
| 1457859480 | Kimberly Buckholts | Specialist/Technologist | 28 S Willard St Apt 2, Burlington, VT 05401-3478 | 2018-01-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 08016 |
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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.