KELLEY SCOTT (NPI# 1730541509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730541509 |
Entity Type | Individual |
Full Name | KELLEY SCOTT |
Practice Address |
4161 Tamiami Trail Suite 704 Port Charlotte FL 33953-9283 |
Practice Telephone | 9416251110 |
Practice Fax Number | 9416250552 |
Mailing Telephone | 9416251110 |
Mailing Fax Number | 9416250552 |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | PTA26328 | FL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942800412 | Kelley Scott | Technician | 27 Midway Loop, Elkins, WV 26241-1373 | 2020-10-26 |
1396116109 | Kelley Scott | Nurse Practitioner | 1800 Franklin St, Toronto, OH 43964-1949 | 2015-10-20 |
1477972438 | Kelley Scott | Student in an Organized Health Care Education/Training Program | 1200 N State St, Ct-a7d, Los Angeles, CA 90033-1029 | 2014-04-07 |
1992970388 | Kelley Scott | Registered Nurse | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2008-04-25 |
1720256266 | Kelley Virginia Scott | Nurse Practitioner | 1007 S Peoria Ave, Tulsa, OK 74120-4495 | 2008-02-19 |
1568534428 | Kelley Von Scott | Nurse Practitioner | 3362 S 3rd St, Christ Community Health Services Inc, Memphis, TN 38109-2944 | 2006-11-15 |
1366487522 | Kelley L Scott | Nurse Practitioner | 7955 Westminster Blvd, Westminster, CA 92683-4001 | 2006-06-19 |
Street Address |
4161 TAMIAMI TRAIL SUITE 704 |
City | PORT CHARLOTTE |
State | FL |
Zip Code | 33953-9283 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306838446 | Louis Philip Baier | Optometrist | 4161 Tamiami Trail, Unit 4, Port Charlotte, FL 33952 | 2005-08-16 |
1407499387 | Sandy Brogan | Clinic/Center | 4161 Tamiami Trail, Unit 704, Port Charlotte, FL 33952-9283 | 2019-10-23 |
1043392038 | Infinity Home Care of Port Charlotte, LLC | Home Health | 4161 Tamiami Trail, Building 8, Unit 801a, Port Charlotte, FL 33952-9299 | 2006-10-19 |
1851491708 | Erin Ann Comerford | Nurse Practitioner | 4161 Tamiami Trail, 101, Port Charlotte, FL 33952-9208 | 2006-09-22 |
1578584629 | Louis James Hohman | Physical Therapist | 4161 Tamiami Trail, Ste 304, Port Charlotte, FL 33952 | 2006-07-22 |
1740229103 | Golden Touch Physical Therapy Inc | Clinic/Center | 4161 Tamiami Trail, Suite 704, Port Charlotte, FL 33952-9283 | 2006-06-04 |
1659364743 | Charlotte Resources Inc | Radiology | 4161 Tamiami Trail, Suite 204, Port Charlotte, FL 33952-8088 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376079368 | Dawn Olson | Developmental Therapist | 14299 Silver Lakes Cir, Port Charlotte, FL 33953 | 2017-05-11 |
1164580536 | Brian R Webster | Physician Assistant | 530 Tamiami Trail, Port Charlotte, FL 33953 | 2006-12-05 |
1528069192 | Cardinal Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 779 Tamiami Trail, Ste 8, Port Charlotte, FL 33953 | 2005-08-09 |
1720210404 | Elaine F Pyzikiewicz | Massage Therapist | 474 Lomond Dr, Port Charlotte, FL 33953-1526 | 2009-08-14 |
1013313212 | Kathleen Spencer | Speech-Language Pathologist | 15152 Buswell Ave, Port Charlotte, FL 33953-2007 | 2014-11-15 |
1235426719 | Christina M Parker | Nurse Practitioner | 430 Border St, Port Charlotte, FL 33953-2015 | 2011-07-05 |
1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
1326552001 | Vladislav Zalevskiy | Massage Therapist | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2017-11-16 |
1154502284 | Pascal Bordy Md Pa | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-11-16 |
1497296891 | Cody Bishop | Physical Therapy Assistant | 708 Bowman Ter, Port Charlotte, FL 33953-2133 | 2017-03-17 |
Find all providers in zip 33953 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942549241 | Joletta A Smith | Contractor | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2013-02-06 |
1992172092 | Amber Romanok | Contractor | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2015-08-25 |
1831580257 | Sandra Aughenbaugh | Contractor | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2015-02-06 |
1881944510 | Madeline Mckeegan | Contractor | 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 | 2012-09-10 |
1801141635 | Jennifer Michelle Kaspar | Contractor | 4161 Tamiami Trl, Unit # 704, Port Charlotte, FL 33952-9204 | 2012-07-18 |
1417110560 | Bobbi Pensis Boehmer | Contractor | 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 | 2008-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
Find all providers with the same taxonomy |
City | PORT CHARLOTTE |
Zip Code | 33953 |
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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.