KELLI BLACK (NPI# 1578186763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578186763 |
| Entity Type | Individual |
| Full Name | KELLI BLACK |
| Credential | PT, DPT |
| Practice Address |
701 Sunset Hills Dr Macon MO 63552-2165 |
| Mailing Address |
1001 Old Olive Way Apt 108 Creve Coeur MO 63141-5948 |
| Practice Telephone | 6603853113 |
| Mailing Telephone | 6604122013 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2019042022 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Corporate Park Dr, Clayton, MO 631054201 | 3147257447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861703 | Kelli Facundus Black | Massage Therapist | 195 Boyer St, Plains, MT 59859-5985 | 2020-08-11 |
| Street Address |
701 SUNSET HILLS DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013902139 | Macon County Nursing Home District | Skilled Nursing Facility | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2005-09-14 |
| 1558790881 | Laurie Gilchrist | Speech-Language Pathologist | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2013-11-07 |
| 1922235100 | Adrian Neil Agustin | Physical Therapist | 701 Sunset Hills Dr, Macon, MO 63552-2165 | 2009-06-16 |
| 1528283892 | Loch Haven Apartments | Custodial Care Facility | 701 Sunset Hills Dr, Macon, MO 63552-2134 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1952952103 | Natalie Slocumb | Physical Therapist | 4550 Arkwright Rd, Macon, GA 31210-1302 | 2019-09-27 |
| 1710473921 | R. Jason Kent Physical Therapy, LLC | Physical Therapist | 6010 Lakeside Commons Dr Ste D, Macon, GA 31210-5780 | 2018-07-11 |
| 1801388103 | Margaret Jayne Coddington | Physical Therapist | 5429 Bowman Rd Ste 140, Macon, GA 31210-8903 | 2018-06-01 |
| 1235648957 | Aegis Group Practice LLC | Physical Therapist | 300 Charter Blvd, Macon, GA 31210-4875 | 2017-09-26 |
| 1275061574 | Kasandra Grizzard Vanegas | Physical Therapist | 1014 Forsyth St # Street11, Macon, GA 31201-2051 | 2017-05-31 |
| 1306383773 | Tyler Belt | Physical Therapist | 1005 Overbrook Dr, Macon, MO 63552-2213 | 2017-01-24 |
| 1003287616 | Worldcare International Corporation | Physical Therapist | 4500 Billy Williamson Dr, Suite 9, Macon, GA 31206-8743 | 2015-10-08 |
| 1558760421 | Christy Andrews | Physical Therapist | 104 Yukon Rd, Macon, GA 31217-2112 | 2014-08-17 |
| 1881021228 | Anthony R Castro | Physical Therapist | 164 Summer Grove Ln, Macon, GA 31206-5234 | 2013-09-30 |
| 1316280589 | Emily Roe Estes Norris | Physical Therapist | 6010 Lakeside Commons Drive, Suite D, Macon, GA 31210 | 2013-04-05 |
| Find all providers in MACON | ||||
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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.