DR. TRACE KELLY (NPI# 1629296603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629296603 |
| Entity Type | Individual |
| Full Name | DR. TRACE KELLY |
| Credential | D.C. |
| Practice Address |
10400 Dixie Hwy Ste 101 Louisville KY 40272-3954 |
| Mailing Address |
4705 Hawthorne Place Dr Apt. 6 Louisville KY 40272-2790 |
| Practice Telephone | 5029332005 |
| Practice Fax Number | 5029332074 |
| Mailing Telephone | 5024720929 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
4973 | KY | Chiropractic Providers |
| Street Address |
10400 DIXIE HWY STE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40272-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861520298 | Michael Grass | Chiropractor | 10400 Dixie Hwy, Suite 101, Louisville, KY 40272-3954 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795105 | Jewell Elizabeth Berger | Occupational Therapist | 9700 Stone Street Rd, Louisville, KY 40272 | 2017-08-07 |
| 1235668658 | Jessica Cook | Occupational Therapy Assistant | 12420 Hedgeapple Way, Louisville, KY 40272 | 2017-06-08 |
| 1033468525 | Shawn Thomas Benningfield | Counselor | 9702 Stonestreet Rd Ste 120, Louisville, KY 40272 | 2012-08-30 |
| 1386956415 | Jeannette M Martin | Marriage & Family Therapist | 9800 Stonestreet Rd, Louisville, KY 40272 | 2010-07-06 |
| 1437346145 | Community Family Living, LLC | Day Training, Developmentally Disabled Services | 610 Valley College Dr., Louisville, KY 40272 | 2007-09-26 |
| 1982797403 | William Spencer Shipley | Dentist | 9900 Old Third Street Road, Louisville, KY 40272 | 2006-10-02 |
| 1962513317 | Teresa May Wright | Nurse Practitioner | 1912 Penile Rd, Valley Station, KY 40272 | 2006-08-31 |
| 1710400734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 701 Valley College Dr, Louisville, KY 40272 | 2017-07-21 |
| 1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
| 1780090233 | Umama Sadia | Family Medicine | 9702 Stonestreet Rd, Louisville, KY 40272 | 2014-07-05 |
| Find all providers in zip 40272 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365248 | Apex Auto Chiropractic Inc | Chiropractor | 305 Mccaslin Blvd Ste 6, Louisville, CO 80027-2930 | 2018-02-08 |
| 1073738845 | Sean Patrick Brady | Chiropractor | 3622 Frankfort Ave, Louisville, KY 40207-2555 | 2007-04-16 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1598844375 | Dr Paul J Constante Dc Psc | Chiropractor | 3707 Chamberlain Ln, Suite 101, Louisville, KY 40241-2091 | 2006-11-03 |
| 1619415833 | G's Therapy & Rehabilitation System Inc | Chiropractor | 4010 Dupont Cir Ste 569, Louisville, KY 40207 | 2017-02-08 |
| 1083073381 | Community Care Chiropractic Center, P.s.c. | Chiropractor | 1227 Gilmore Ln, Louisville, KY 40213-2307 | 2016-02-15 |
| 1164722831 | Brenda Clay Stoner | Chiropractor | 2600 W Broadway, Suite 208, Louisville, KY 40211-1366 | 2010-10-28 |
| 1912215625 | Jeffrey Paul Rosum | Chiropractor | 5135 Dixie Hwy, Suite 25, Louisville, KY 40216-1771 | 2010-09-15 |
| 1922170844 | William S Harrison | Chiropractor | 101 S. Main St., Louisville, IL 62858 | 2006-11-15 |
| 1023197712 | S & P Chiropractic Pllc | Chiropractor | 8015 Bardstown Rd, Louisville, KY 40291-3439 | 2006-11-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40272 |
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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.