KELLY BLACK (NPI# 1629527049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629527049 |
| Entity Type | Individual |
| Full Name | KELLY BLACK |
| Credential | PT |
| Practice Address |
1114 W Jackson St Ozark MO 65721-9164 |
| Practice Telephone | 4175811234 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2001031153 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508384736 | Kelly Renee Black | Specialist/Technologist | 503 North Chestnut Street, Palmyra, PA 17078 | 2017-09-08 |
| 1437621091 | Kelly Nicole Black | Nurse Anesthetist, Certified Registered | 11100 Euclid Ave, Anesthesia Dept, Cleveland, OH 44106-5007 | 2018-12-20 |
| 1851791966 | Kelly Black | Physical Therapy Assistant | 8540 Scarborough Dr Ste 200, Colorado Springs, CO 80920-7513 | 2014-08-26 |
| 1942550405 | Kelly Black | Occupational Therapist | 4101 Raeford Rd, Fayetteville, NC 28304-4114 | 2012-09-12 |
| 1518278209 | Kelly Soldier Black | Social Worker | 23900 Commerce Park, Beachwood, OH 44122-5822 | 2010-06-28 |
| 1881928299 | Kelly Black | Nurse Anesthetist, Certified Registered | 7100 W 9th Ave, Amarillo, TX 79106-1704 | 2009-10-01 |
| 1659527364 | Kelly Putnam Black | Speech-Language Pathologist | 60 Marietta Rd, Chillicothe, OH 45601-9433 | 2008-08-13 |
| 1700096955 | Kelly Jane Black | Emergency Medicine | 4530 N 32nd St Ste 102, Phoenix, AZ 85018-3357 | 2007-05-23 |
| 1457499592 | Kelly Dawn Black | Emergency Medicine | 801 7th Ave, Fort Worth, TX 76104-2733 | 2007-02-01 |
| Street Address |
1114 W JACKSON ST |
| City | OZARK |
| State | MO |
| Zip Code | 65721-9164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992998454 | Bethany Marie Ray | Speech-Language Pathologist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2007-08-19 |
| 1841726510 | Lydia Holland | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2017-05-02 |
| 1376078824 | Teal Mathie | Speech-Language Pathologist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2017-04-21 |
| 1023542289 | Tina Stafford | Occupational Therapy Assistant | 1114 W Jackson St, Ozark, MO 65721-9164 | 2017-04-14 |
| 1407396393 | Haven Physical Therapy | Home Health | 1114 W Jackson St, Ozark, MO 65721-9164 | 2017-02-27 |
| 1164971933 | 417 Home Care LLC | Chore Provider | 1114 W Jackson St, Ozark, MO 65721-9164 | 2016-09-22 |
| 1528415692 | Laura Michele Fehrenbach | Speech-Language Pathologist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2016-05-18 |
| 1730547092 | Cody Hooten | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2016-02-02 |
| 1720469661 | Allison Adler | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2015-06-16 |
| 1750632048 | Mark Zachary Mcdonald | Physical Therapist | 1114 W Jackson St, Ozark, MO 65721-9164 | 2012-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| 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 |
|---|---|---|---|---|
| 1235767443 | Crystal Lynn Warren | Physical Therapist | 1725 S 15th St, Ozark, MO 65721-9030 | 2020-04-01 |
| 1104203686 | Jordan Dow | Physical Therapist | 618 Andrews Ave, Ozark, AL 36360-1718 | 2015-05-04 |
| 1740586940 | Haven Physical Therapy LLC | Physical Therapist | 850 N 25th St, Ozark, MO 65721-8033 | 2011-02-04 |
| 1306178082 | Total Rehabilitation Ozark, Inc. | Physical Therapist | 2708 W Commercial, Ozark, AR 72949 | 2010-02-05 |
| 1568619617 | Stacy Elaine Darr | Physical Therapist | 257 Airport Rd Ste E, Ozark, AR 72949-9266 | 2008-08-20 |
| 1972778124 | Timothy Broadbent | Physical Therapist | 709 E Mccracken Rd, Ozark, MO 65721-9499 | 2008-04-29 |
| 1831360049 | James Anthony Pennell | Physical Therapist | 1581 E Warren Ave, Ozark, MO 65721-7782 | 2008-03-14 |
| 1407900665 | Danny Patrick Stepp | Physical Therapist | 14244 Watalula Rd, Ozark, AR 72949-9269 | 2007-01-23 |
| 1720144462 | Joseph Mcdaniel | Physical Therapist | 123 S Painter Ave Ste C, Ozark, AL 36360-1802 | 2006-12-28 |
| 1699852442 | Joe E Moore | Physical Therapist | 780 Prairie Hollow Rd, Ozark, MO 65721-7471 | 2006-11-01 |
| Find all providers in OZARK | ||||
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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.