SHAWN KELLY (NPI# 1710385356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710385356 |
| Entity Type | Individual |
| Full Name | SHAWN KELLY |
| Credential | PTA |
| Practice Address |
1204 South Blvd North Charleston SC 29405-5228 |
| Practice Telephone | 8432007806 |
| Practice Fax Number | 8432007806 |
| Mailing Telephone | 8432007806 |
| Mailing Fax Number | 8432007806 |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2014-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2972 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225192131 | Shawn Connery Kelly | Counselor | 109 Petrolia Rd, Petrolia, PA 16050 | 2006-12-22 |
| 1427675107 | Shawn Kelly | Behavior Technician | 300 W Swanson Ave, Wasilla, AK 99654-6844 | 2020-06-29 |
| 1508393919 | Shawn Christine Kelly | Speech-Language Pathologist | 2820 Northup Way Ste 120, Bellevue, WA 98004-1419 | 2017-05-16 |
| 1336565712 | Shawn Kelly | Adult Companion | 945 Ne 165th Ave, Portland, OR 97230-6148 | 2014-03-10 |
| 1174831093 | Shawn Demian Kelly | Nurse Practitioner | 1061 Harmon Ave, Winn Ach, Fort Stewart, GA 31314-5641 | 2010-09-14 |
| 1932425329 | Shawn C. Kelly | Internal Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2010-04-12 |
| 1013082189 | Shawn Patrick Kelly | Dentist | 13 Somerdale Sq, Somerdale, NJ 08083-1345 | 2006-11-22 |
| 1003808395 | Shawn M Kelly | Optometrist | 2313 W Parker Rd, Plano, TX 75023-7839 | 2005-08-22 |
| Street Address |
1204 SOUTH BLVD |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-5228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1689191538 | Lauren Bowden | Physical Therapy Assistant | 8780 Rivers Ave Ste 124, North Charleston, SC 29406-9257 | 2017-08-22 |
| 1962805143 | Christina Marcus | Physical Therapy Assistant | 2060 Northbrook Blvd Ste 101, North Charleston, SC 29406-9811 | 2014-10-02 |
| 1205067014 | Daryl Voce | Physical Therapy Assistant | 4390 Belle Oaks Dr Ste 120, North Charleston, SC 29405-8561 | 2009-07-29 |
| 1831377613 | Sonya Hagler | Physical Therapy Assistant | 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405-8559 | 2008-02-05 |
| 1528132347 | Stacie Michelle Willoughby | Physical Therapy Assistant | 2880 Tricom St Ste B, North Charleston, SC 29406-9171 | 2006-11-20 |
| 1245282391 | Eastern Rehab Services LLC | Physical Therapy Assistant | 1273 Remount Rd, North Charleston, SC 29406-3439 | 2006-05-17 |
| 1841776135 | Martina Seifert | Physical Therapy Assistant | 4401 Belle Oaks Dr, North Charleston, SC 29405-8537 | 2018-07-19 |
| 1003208927 | Rachel Marozzi | Physical Therapy Assistant | 2891 Tricom St Ste B, North Charleston, SC 29406-7110 | 2015-03-02 |
| 1255735676 | David Hughes | Physical Therapy Assistant | 4401 Belle Oaks Dr, North Charleston, SC 29405-8537 | 2014-10-14 |
| 1609289271 | Therese Day | Physical Therapy Assistant | 4401 Belle Oaks Dr, Suite 280, North Charleston, SC 29405-8537 | 2014-06-11 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
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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.