MEGAN KELLY (NPI# 1710229075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710229075 |
| Entity Type | Individual |
| Full Name | MEGAN KELLY |
| Credential | DPT |
| Practice Address |
20412 Barents Sea Cir Lake Forest CA 92630-8807 |
| Practice Telephone | 9498550100 |
| Practice Fax Number | 9498550134 |
| Mailing Telephone | 9498550100 |
| Mailing Fax Number | 9498550134 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT39863 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043735970 | Megan Elizabeth Kelly | Psychologist | 401 Quarry Rd # Mc5722, Palo Alto, CA 94304-1419 | 2017-08-11 |
| 1033596994 | Megan Ann Kelly | Specialist | 3116 Ann St, Baldwin, NY 11510-4506 | 2015-04-29 |
| 1407274467 | Megan Kelly | Occupational Therapy Assistant | 411 Huntington Rd, Summerville, SC 29483-9726 | 2014-04-06 |
| 1366709149 | Megan Marie Kelly | Occupational Therapist | 97 S Stonington Dr, Palatine, IL 60074-6807 | 2012-04-18 |
| 1891091526 | Megan Moyer Kelly | Occupational Therapist | 74 Bridge St, Newton, MA 02458-1147 | 2011-01-27 |
| 1356505234 | Megan M Kelly | Counselor | 4808 Bristol Way, Yakima, WA 98908-3636 | 2008-07-10 |
| 1811989692 | Megan Kelly | Nurse Practitioner | 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | 2005-08-18 |
| 1093334112 | Megan Cathleen Kelly | Student in an Organized Health Care Education/Training Program | 1300 N 12th St Ste 605, Phoenix, AZ 85006-2850 | 2020-04-09 |
| 1104457530 | Megan L Kelly | Marriage & Family Therapist | 8670 210th St W, Lakeville, MN 55044-7000 | 2020-02-04 |
| 1144868688 | Megan Kelly | Dietitian, Registered | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2019-12-16 |
| Street Address |
20412 BARENTS SEA CIR |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548547763 | Laura Ward | Physical Therapist | 20412 Barents Sea Cir, Lake Forest, CA 92630-8807 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801223516 | Active Motion Physical Therapy, PC | Specialist | 22600 Lambert St Ste 1204, Lake Forest, CA 92630-1623 | 2013-09-26 |
| 1982832382 | Ann Bacon Davidsen | Specialist | 600 N Bradley Rd, Lake Forest, IL 60045-1020 | 2009-06-24 |
| 1992961171 | Lake Forest Plastic Surgery Ltd. | Specialist | 700 N Westmoreland Rd Ste A, Lake Forest, IL 60045-1672 | 2008-08-06 |
| 1386768836 | Adam H Romeiser Jr. | Specialist | 294 Rose Ter, Lake Forest, IL 60045-1378 | 2007-03-19 |
| 1417093808 | Ob-gyne Associates of Lake Forest, Ltd. | Specialist | 959 S. Waukegan Rd, Floor 2, Lake Forest, IL 60045 | 2007-01-30 |
| 1427108869 | John Joseph Mcgillen | Specialist | 1655 Cornell Ct, Lake Forest, IL 60045-5116 | 2007-01-10 |
| 1851357206 | Richard Allan Block | Specialist | 1160 N Green Bay Rd, Lake Forest, IL 60045-1104 | 2006-04-25 |
| 1467415570 | Julie Ann Claveria | Specialist | 23792 Rockfield Blvd, Suite 240, Lake Forest, CA 92630-2868 | 2006-04-10 |
| 1881823995 | Sharon Lynn Meekma | Specialist | 600 N Bradley Rd, Lake Forest, IL 60045-1020 | 2009-07-09 |
| 1740454263 | Sharon Valencia | Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2008-04-15 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on MEGAN KELLY.
| 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.