MRS. CONNIE L KELLY (NPI# 1578528741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578528741 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE L KELLY |
| Credential | PTA |
| Practice Address |
601 New Rd Lindwood NJ 08221-1251 |
| Practice Telephone | 6099261161 |
| Practice Fax Number | 6019261161 |
| Mailing Telephone | 6099261161 |
| Mailing Fax Number | 6099263223 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
40QB00121000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QB00121000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225200000X | Physical Therapy Assistant | 40QB00121000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760609382 | Connie Diane Kelly | Nurse Practitioner | 39 Pearl St W, Sidney, NY 13838-1330 | 2007-04-18 |
| Street Address |
601 NEW RD |
| City | LINDWOOD |
| State | NJ |
| Zip Code | 08221-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831049 | Atlantic County Comprehensive Healthcare PC | Specialist | 1201 New Road, Suite 120, Linwood, NJ 08221 | 2019-09-27 |
| 1437625381 | Seawolf Yoga LLC | Counselor | 222 New Rd. Suite 405 Central Park East, Linwood, NJ 08221 | 2018-10-18 |
| 1720451263 | Vitality Nutrition and Wellness Center LLC | Dietitian, Registered | 2000 Shore Road, Suite 104, Linwood, NJ 08221 | 2015-11-05 |
| 1679968028 | Maria Roca Camille Jarillo | Physical Medicine & Rehabilitation | 201 New Road, Linwood, NJ 08221 | 2015-04-02 |
| 1154754836 | Heidi Schnorr-leavy, LLC | Counselor | 1201 New Rd. S-130, Linwood, NJ 08221 | 2013-08-16 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1710211388 | Peter E. Wiesel | Dentist | 222 New Road, Suite #401, Linwood, NJ 08221 | 2009-09-29 |
| 1093945693 | Judy Lozada Cabinian | Physical Therapist | New Road and Central Avenue, Linwood, NJ 08221 | 2009-07-17 |
| 1992969687 | Ila A. Keiner LLC | Social Worker | Route 9 and Central Ave, Central Square Unit 61a, Linwood, NJ 08221 | 2008-07-11 |
| 1578726782 | Karla Moody | Licensed Practical Nurse | 201 Central Avenue, Linwood Care Center, Linwood, NJ 08221 | 2008-07-08 |
| Find all providers in zip 08221 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363582 | Rufus Zachary Hay | Physical Therapist | 1609 11th Ave, Toms River, NJ 08757-2038 | 2020-10-13 |
| 1497376297 | Nicholas Mckaba | Physical Therapist | 33 Ascot Dr, Long Valley, NJ 07853-3660 | 2020-05-03 |
| 1437624269 | Heather Minue | Physical Therapist | 38 Danbury Rd, Tinton Falls, NJ 07753-7918 | 2018-10-08 |
| 1962925412 | Provere Physical Therapy - Paramus LLC | Physical Therapist | 407 Sette Dr Bldg E, Paramus, NJ 07652-2940 | 2017-07-17 |
| 1477804748 | Joseph B. Peragine | Physical Therapist | 144 Princeton Oval, Freehold, NJ 07728-5336 | 2012-09-27 |
| 1235431586 | Harold Alaan | Physical Therapist | 239 English Pl, Basking Ridge, NJ 07920-2799 | 2010-11-18 |
| 1154595197 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 136 Hopper Ave., Waldwick, NJ 07463 | 2008-04-22 |
| 1619061074 | Benjamin Meir Burton | Physical Therapist | 69 Newark Pompton Tpke, Riverdale, NJ 07457-1426 | 2006-10-03 |
| 1952408296 | Rodolfo Chua Jr. | Physical Therapist | 575 High Mountain Rd, North Haledon, NJ 07508-2662 | 2006-09-20 |
| 1689781593 | Shane Famille | Physical Therapist | 17 11th Ave, Glendora, NJ 08029-1333 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
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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.