KEISHA ELLIS (NPI# 1629358387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629358387 |
| Entity Type | Individual |
| Full Name | KEISHA ELLIS |
| Credential | PT |
| Practice Address |
105 Laura Sue Humphress Dr Campbellsville KY 42718-8899 |
| Mailing Address |
514 Turkey Run Rd Campbellsville KY 42718-4929 |
| Practice Telephone | 2704657768 |
| Practice Fax Number | 2704650068 |
| Mailing Telephone | 2704636173 |
| Mailing Fax Number | 2704650068 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 003910 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508318494 | Keisha Ellis | Nurse Practitioner | 601 W Country Club Rd Ste 102, Roswell, NM 88201-5227 | 2016-10-26 |
| Street Address |
105 LAURA SUE HUMPHRESS DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-8899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295034585 | Lindsay Graves | Speech-Language Pathologist | 105 Laura Sue Humphress Dr, Campbellsville, KY 42718-8899 | 2011-03-25 |
| 1528326535 | Yoshimi Zoeller | Occupational Therapy Assistant | 105 Laura Sue Humphress Dr, Campbellsville, KY 42718-8899 | 2012-04-26 |
| 1609134618 | Cecilee Ennis | Speech-Language Pathologist | 105 Laura Sue Humphress Dr, Campbellsville, KY 42718-8899 | 2012-04-26 |
| 1528345428 | Jamie Flatt | Physical Therapy Assistant | 105 Laura Sue Humphress Dr, Campbellsville, KY 42718-8899 | 2011-11-07 |
| 1104102359 | Karen Mills | Speech-Language Pathologist | 105 Laura Sue Humphress Dr, Campbellsville, KY 42718-8899 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| 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 |
|---|---|---|---|---|
| 1508471145 | Michael Clelland Brents | Physical Therapist | 190 W 1st St Ste 103, Campbellsville, KY 42718-2264 | 2020-09-10 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1508153800 | Michele Magness | Physical Therapist | 4800 Old Lebanon Rd, Campbellsville, KY 42718-9669 | 2011-07-07 |
| 1750572160 | Jason Eugene Fikter | Physical Therapist | 190 West Broadway Street, Suite 103, Campbellsville, KY 42718-2212 | 2007-08-09 |
| 1780754101 | Kyle Bryan Salsbury | Physical Therapist | 190 West Broadway, Campbellsville, KY 42718 | 2006-11-09 |
| 1700989910 | Becky Jo Mcfee | Physical Therapist | 716 Miller Rd, Campbellsville, KY 42718-8808 | 2006-09-06 |
| 1972536084 | Lumina of Campbellsville | Physical Therapist | 2020 Hodgenville Rd, Campbellsville, KY 42718-8466 | 2006-07-09 |
| 1790713006 | Colleen R Ball | Physical Therapist | 315 E Broadway St, Campbellsville, KY 42718-2052 | 2006-06-28 |
| 1851835771 | Andrew Dornbrook | Physical Therapist | 1700 Old Lebanon Road, Campbellsville, KY 42718 | 2016-12-12 |
| 1750824108 | Holly Dornbrook | Physical Therapist | 640 Watertower Byp, Campbellsville, KY 42718-8657 | 2016-12-01 |
| Find all providers in CAMPBELLSVILLE | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on KEISHA ELLIS.
| 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.