DR. KELLY M MCDERMOTT (NPI# 1639216757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639216757 |
| Entity Type | Individual |
| Full Name | DR. KELLY M MCDERMOTT |
| Credential | DPT, ATC |
| Practice Address |
111 S Bedford St Burlington MA 01803-5145 |
| Mailing Address |
16 Cleveland St Arlington MA 02474-6916 |
| Practice Telephone | 7812722100 |
| Practice Fax Number | 7812720404 |
| Mailing Telephone | 7816414168 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 8513 | MA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962684712 | Kelly Mckenna Mcdermott | Speech-Language Pathologist | 345 E Juniper St, Mesa, AZ 85201-1825 | 2007-12-04 |
| 1104946011 | Kelly Therese Mcdermott | Midwife | 527 Western Ave, Albany, NY 12203-1746 | 2007-04-02 |
| 1124183330 | Kelly Hartnett Mcdermott | Dentist | 111 Gaslight Blvd, Suite A, Lufkin, TX 75904-3188 | 2006-12-27 |
| 1619593258 | Kelly Eileen Mcdermott | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-19 |
| 1114386794 | Kelly Jo Mcdermott | Nurse Practitioner | 525 N Foster St, Mitchell, SD 57301-2966 | 2016-02-11 |
| 1972818458 | Kelly Renee Mcdermott | Physical Therapist | 15 Parkman St, Room 128, Boston, MA 02114-3117 | 2010-08-09 |
| 1720006877 | Kelly Mcdermott | Nurse Anesthetist, Certified Registered | 800 Spruce St, Philadelphia, PA 19107-6130 | 2006-07-17 |
| Street Address |
111 S BEDFORD ST |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396844783 | Judith Faye Wisnia | Speech-Language Pathologist | 111 S Bedford St, Suite 102, Burlington, MA 01803-5145 | 2006-09-21 |
| 1568603884 | Patricia E Caffrey | Physical Therapist | 111 S Bedford St, Burlington, MA 01803-6807 | 2009-03-17 |
| 1033374574 | Marilyn Rower Howard | Speech-Language Pathologist | 111 S Bedford St, Judith Wisnia and Associates, Inc, Burlington, MA 01803-5145 | 2008-07-24 |
| 1144438367 | Nicole Connarton | Physical Therapist | 111 S Bedford St, Burlington, MA 01803-5145 | 2007-05-20 |
| 1235350364 | Patricia M Oconnor Mccall | Speech-Language Pathologist | 111 S Bedford St, Suite #102 Judith Wisnia & Assoc, Burlington, MA 01803-5145 | 2007-05-02 |
| 1649392267 | April Suzanne Ricciardone | Occupational Therapist | 111 S Bedford St, Burlington, MA 01803-5145 | 2007-04-04 |
| 1093834780 | Julie Gianotti | Occupational Therapist | 111 S Bedford St, Burlington, MA 01803-5145 | 2007-03-27 |
| 1467585992 | Terri Lynne Foster | Occupational Therapist | 111 S Bedford St, Burlington, MA 01803-5145 | 2007-03-13 |
| 1497881346 | Jaime Edna Migliaccio | Occupational Therapist | 111 S Bedford St, Burlington, MA 01803-5145 | 2007-02-26 |
| 1275681389 | Barbara Ellen Reich | Occupational Therapist | 111 S Bedford St, Burlington, MA 01803-5145 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013537612 | Medical Supply Partners, Inc. | Home Health | 5821 S Nc Highway 49, Burlington, NC 27215-9635 | 2020-04-23 |
| 1295368165 | Hunter Healthcare Solutions LLC | Home Health | 25 Tattersall Dr, Burlington, NJ 08016-4313 | 2020-02-19 |
| 1992274633 | Jmmj, LLC | Home Health | 633 Chapel Hill Rd Ste A, Burlington, NC 27215-6576 | 2018-11-23 |
| 1538664396 | Steven J Orlowski | Home Health | 9 Yorkshire Way, Burlington, CT 06013-1629 | 2018-03-26 |
| 1205331014 | Always There Companions & Homemakers LLC | Home Health | 31 Mountain Spring Rd, Burlington, CT 06013-1821 | 2018-03-26 |
| 1912418161 | Enoch Group Home | Home Health | 2310 Hyde St, Burlington, NC 27217-3073 | 2017-10-16 |
| 1023532876 | Ana Homecare LLC | Home Health | 158 W Chestnut St, Burlington, WI 53105-1236 | 2017-08-02 |
| 1144761602 | Making Visions Come True Pllc | Home Health | 2352 S Church St, Burlington, NC 27215-5332 | 2017-03-17 |
| 1629514914 | Immaculate Home Health Inc | Home Health | 39 Hilltop Dr, Burlington, MA 01803-3925 | 2017-01-11 |
| 1275980393 | Boston Pacific Homecare | Home Health | 2 Burlington Woods Dr, Burlington, MA 01803-4515 | 2016-05-18 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
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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.