KELLY JO MATTILA (NPI# 1538690532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538690532 |
| Entity Type | Individual |
| Full Name | KELLY JO MATTILA |
| Credential | PTA |
| Practice Address |
1022 Presidential Corridor Caldwell TX 77836-4611 |
| Mailing Address |
5025 Welcome Ln College Station TX 77845-9528 |
| Practice Telephone | 9795670920 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2122317 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861738833 | Kelly J Mattila | Physical Therapist | 236 Ponderosa Ct, Eureka, CA 95503-5368 | 2012-12-20 |
| Street Address |
1022 PRESIDENTIAL CORRIDOR |
| City | CALDWELL |
| State | TX |
| Zip Code | 77836-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194923748 | John Maxwell Todd | Contractor | 1022 Presidential Corridor, Caldwell, TX 77836-4611 | 2007-07-05 |
| 1134632508 | Heather Leeann Mills | Occupational Therapy Assistant | 1022 Presidential Corridor, Caldwell, TX 77836-4611 | 2017-11-08 |
| 1801256417 | Amanda Rose | Occupational Therapy Assistant | 1022 Presidential Corridor, Caldwell, TX 77836-4611 | 2016-02-25 |
| 1285093286 | Bryana Frazer | Physical Therapy Assistant | 1022 Presidential Corridor, Caldwell, TX 77836-4611 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750529913 | Caldwell I Enterprises, LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836 | 2009-01-27 |
| 1285784397 | Elza Leroy Kutch | Optometrist | 3431 County Rd 330, Caldwell, TX 77836 | 2007-01-11 |
| 1609947654 | Johanna A Elliott | Chiropractor | 101 Hwy 21 E, Caldwell, TX 77836 | 2006-11-13 |
| 1194825547 | Brookshire Brothers Inc | Pharmacy | 455 Hwy 36 N, Caldwell, TX 77836 | 2006-09-25 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1093175184 | Waqas Tufail Od Pa | Optometrist | 2901 Riley Fuzzell Road, Spring, TX 77836 | 2016-03-02 |
| 1548687171 | Burleson County Hospital District | Skilled Nursing Facility | 1022 Presidential Corridor East, Caldwell, TX 77836 | 2014-03-20 |
| 1437443751 | Kyle Winkler | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836 | 2011-06-03 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1548891336 | Courtney Jane Chmelar | Student in an Organized Health Care Education/Training Program | 1004 Woodson Dr, Caldwell, TX 77836-1000 | 2020-01-30 |
| Find all providers in zip 77836 | ||||
| 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 |
|---|---|---|---|---|
| 1497306831 | Britany Jennifer Cunningham | Physical Therapy Assistant | 222 E Elm St, Caldwell, ID 83605-4815 | 2019-09-26 |
| 1922256015 | Megan Hohman | Physical Therapy Assistant | 45965 Parry Hollow Rd, Caldwell, OH 43724-9316 | 2008-09-03 |
| 1790335784 | Anthony Papa | Physical Therapy Assistant | 112 Bloomfield Ave, Caldwell, NJ 07006-5336 | 2019-09-12 |
| 1255804431 | Yris Vanbrakle | Physical Therapy Assistant | 355 Bloomfield Ave, Caldwell, NJ 07006-5118 | 2019-01-10 |
| 1578042578 | Nevah Marie Evans | Physical Therapy Assistant | 343 Country Club Dr, Caldwell, TX 77836-2328 | 2018-08-09 |
| 1285093286 | Bryana Frazer | Physical Therapy Assistant | 1022 Presidential Corridor, Caldwell, TX 77836-4611 | 2016-02-18 |
| 1881940757 | Gina Marie Femino | Physical Therapy Assistant | 524 Cleveland Blvd Ste 110, Caldwell, ID 83605-4079 | 2012-07-30 |
| 1346400728 | Scott Forwood | Physical Therapy Assistant | 2814 S Indiana Ave, Caldwell, ID 83605-5925 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1801496740 | Iulia Brodsky | Physical Therapy Assistant | 4047 Mt Everest Way, Katy, TX 77449-0140 | 2020-10-29 |
| 1487254363 | Richard Joseph Radomski | Physical Therapy Assistant | 12000 Sawmill Rd Apt 607, Spring, TX 77380-2103 | 2020-10-29 |
| 1063012193 | Tiffany Monique Johnson | Physical Therapy Assistant | 19138 Us Highway 281 N Ste 200, San Antonio, TX 78258-4988 | 2020-10-28 |
| 1245830520 | Anthony Aghaji Felix | Physical Therapy Assistant | 13978 Maximos Dr, Houston, TX 77083-8044 | 2020-10-27 |
| 1013516954 | Laurence Oliver Parker | Physical Therapy Assistant | 7655 Park North Dr Apt 806, Beaumont, TX 77708-2413 | 2020-10-21 |
| 1992303309 | Gamaelle Colas | Physical Therapy Assistant | 2602 White Bluff Ln, Houston, TX 77038-2729 | 2020-10-16 |
| 1811595309 | Marisol Munoz | Physical Therapy Assistant | 5532 Dennis Cavin Ln, El Paso, TX 79934-3281 | 2020-10-15 |
| 1922606862 | Alena Bolshakova | Physical Therapy Assistant | 3120 Sun Drenched Path, Austin, TX 78732-1950 | 2020-10-13 |
| 1245838572 | Ashlee Lynn Bonner | Physical Therapy Assistant | 16601 S Quail Rd, Odessa, TX 79766-1368 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY JO MATTILA.
| 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.