KELLY O'ROURKE (NPI# 1629481635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629481635 |
| Entity Type | Individual |
| Full Name | KELLY O'ROURKE |
| Other Name | KELLY KOENIGSKNECHT |
| Practice Address |
1507 Waterford Pkwy Saint Johns MI 48879 |
| Mailing Address |
1507 Waterford Pkwy Saint Johns MI 48879-9630 |
| Practice Telephone | 9892275404 |
| Practice Fax Number | 9892275415 |
| Mailing Telephone | 9892275404 |
| Mailing Fax Number | 9892275415 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501016792 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 416 S Creyts Rd, Suite B, Lansing, MI 489178290 | 5173270966 | 5173270986 |
| 1240 E Grand River Ave, Portland, MI 488751672 | 5177436122 | 5177436123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807937 | Kelly O'rourke | Specialist/Technologist | 8002 Brookglen Ct, Louisville, KY 40220-5034 | 2017-12-27 |
| 1063517985 | Kelly O'rourke | Massage Therapist | 2608 3rd Ave # B, Seattle, WA 98121-1214 | 2006-09-14 |
| 1457838112 | Kelly O'rourke | Speech-Language Pathologist | 17 Lake Walton Rd, Wappingers Falls, NY 12590-6309 | 2018-07-25 |
| 1326151507 | Kelly F. O'rourke | Social Worker | 165 Lancaster St, Portland, ME 04101-2406 | 2006-08-15 |
| Street Address |
1507 WATERFORD PKWY |
| City | SAINT JOHNS |
| State | MI |
| Zip Code | 48879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861405581 | K 13 Physical Therapy & Sports Medicine PC | Physical Therapist | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2006-08-14 |
| 1306499900 | Kris T Kirby | Counselor | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2019-07-23 |
| 1275028433 | Isabel Teresa Severy | Counselor | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2018-06-28 |
| 1487144366 | Joshua Daniel Schmitt | Physical Therapist | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2018-05-16 |
| 1639607971 | Carrie C Inglis | Counselor | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2017-05-31 |
| 1356709059 | Spicer Counseling Services, Pllc | Counselor | 1507 Waterford Pkwy, Suite 2, Saint Johns, MI 48879-9630 | 2016-02-09 |
| 1982952339 | Rachel Jo Feldpausch | Physical Therapist | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2012-08-16 |
| 1104132877 | Roxanne Renae Kudwa | Physical Therapist | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2010-08-19 |
| 1205849940 | Barbara Ann Koenigsknecht | Physical Therapist | 1507 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
| 1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
| 1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
| 1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
| 1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
| 1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
| 1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
| 1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
| Find all providers in zip 48879 | ||||
| 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 |
|---|---|---|---|---|
| 1891335642 | Rachel Jeffries | Physical Therapist | 450 State Road 13 Ste 12, Saint Johns, FL 32259-3860 | 2020-01-09 |
| 1215400056 | Vibeth Jude Vicher-vesagas | Physical Therapist | 813 S Bridgestone Ave, Saint Johns, FL 32259-7926 | 2019-01-04 |
| 1467923037 | Cheryl Lynn Spleet | Physical Therapist | 1011 S Us Highway 27, Saint Johns, MI 48879-2423 | 2018-12-07 |
| 1538660782 | Rondi Fillwock | Physical Therapist | 1079 S Us Highway 27, Saint Johns, MI 48879-2437 | 2018-02-23 |
| 1023518453 | Amanda (amy) Gibbes | Physical Therapist | 924 Lotus Ln S, Saint Johns, FL 32259-4425 | 2018-02-12 |
| 1073904777 | Roseann Jackson | Physical Therapist | 197 Elmwood Dr, Saint Johns, FL 32259-3031 | 2015-02-17 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1457691065 | Geoffrey Graeme Angell | Physical Therapist | 4164 Lonicera Loop, Saint Johns, FL 32259-4531 | 2013-02-18 |
| 1043501950 | Tobi Fox Baldwin | Physical Therapist | 2758 Race Track Rd, Suite 401, Saint Johns, FL 32259-3250 | 2011-04-26 |
| 1801128723 | Deborah Lynn Shon | Physical Therapist | 1056 Durbin Parke Dr, Saint Johns, FL 32259-4267 | 2010-02-02 |
| Find all providers in SAINT JOHNS | ||||
| City | SAINT JOHNS |
| Zip Code | 48879 |
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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.