MRS. KELSIE CLARK (NPI# 1598211906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598211906 |
| Entity Type | Individual |
| Full Name | MRS. KELSIE CLARK |
| Credential | PT, DPT |
| Practice Address |
2808 Fox Meadow Ln Jonesboro AR 72404-9346 |
| Mailing Address |
121 County Road 373 Bono AR 72416-7637 |
| Practice Telephone | 8709324245 |
| Practice Fax Number | 8709314457 |
| Mailing Telephone | 8709742334 |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2016-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2808 FOX MEADOW LN |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-9346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699829838 | Twyla Jane Banks | Speech-Language Pathologist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2007-01-23 |
| 1780218552 | Andrewniquis Perkins | Behavioral Analyst | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2020-03-02 |
| 1457990590 | Taylor Rhiannon Fortenberry | Behavioral Analyst | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2020-01-06 |
| 1265996474 | Carla Graddy | Occupational Therapist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2019-01-22 |
| 1144717885 | Hannah King | Occupational Therapist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2018-04-18 |
| 1356880827 | Shainna Wallis | Speech-Language Pathologist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2017-02-16 |
| 1932539970 | Manette Keller | Physical Therapist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2013-11-12 |
| 1609122027 | Vanessa N Williams | Physical Therapist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2012-08-03 |
| 1851690085 | Bethany D Moss | Physical Therapist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2011-03-28 |
| 1174821821 | Kimberly C Murphree | Speech-Language Pathologist | 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| 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 |
|---|---|---|---|---|
| 1912518408 | Intuitive Choice Physical Therapy and Wellness, LLC | Physical Therapist | 8624 Shoreline Dr, Jonesboro, GA 30236-4053 | 2020-08-10 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1356964670 | Tiffany Dawn Waters | Physical Therapist | 260 Lake Ridge Trl, Jonesboro, LA 71251-6621 | 2020-05-20 |
| 1497374318 | Pelvic Floor and Core Physical Therapy of Jonesboro LLC | Physical Therapist | 1107 E Matthews Ave Ste 105, Jonesboro, AR 72401-4315 | 2020-04-10 |
| 1588120463 | Cody Hubble | Physical Therapist | 995 Route 127 South, Jonesboro, IL 62952 | 2019-02-15 |
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1174090625 | Marci Moffitt | Physical Therapist | 1701 Latourette Ln, Jonesboro, AR 72404-0797 | 2018-11-01 |
| 1013428671 | Neal Tice | Physical Therapist | 2729 E Nettleton Ave Ste B, Jonesboro, AR 72401-4545 | 2017-10-22 |
| 1699296715 | Joseph Birdsong | Physical Therapist | 2207 Watergate St, Jonesboro, AR 72401-7880 | 2017-06-28 |
| 1831636398 | Eunice Mcmurtry | Physical Therapist | 7545 Fielder Rd, Jonesboro, GA 30236-2774 | 2017-01-23 |
| Find all providers in JONESBORO | ||||
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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.