MR. JOHN B KELLEY (NPI# 1770656621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770656621 |
| Entity Type | Individual |
| Full Name | MR. JOHN B KELLEY |
| Credential | PT |
| Practice Address |
11424 Sullivan Rd Bldg C Ste A Baton Rouge LA 70818 |
| Mailing Address |
2335 Church St Ste G Zachary LA 70791 |
| Practice Telephone | 2252617021 |
| Practice Fax Number | 2252627826 |
| Mailing Telephone | 2256548208 |
| Mailing Fax Number | 2256544642 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1022578 | 05 | |
| LA | MEDICARE | 3A115C943 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910436 | John S Kelley | Internal Medicine | 2401 S 31st St # Ms -ag, Temple, TX 76508-0001 | 2020-04-05 |
| 1225415557 | John Christopher Kelley | Psychologist | 8600 Fathom Cir, 2404, Austin, TX 78750-3037 | 2015-05-06 |
| 1770876559 | John P Kelley | Counselor | 4550 E Fifth St, Tucson, AZ 85711 | 2011-05-26 |
| 1437378965 | John M Kelley Jr. | Dentist | 1533 Merrimac Cir, Suite 207, Fort Worth, TX 76107-6571 | 2007-04-24 |
| 1518007467 | John Stewart Kelley | Counselor | 1949 Snowberry Ln, Joplin, MO 64804-5420 | 2007-02-08 |
| 1801942289 | John Roy Kelley Jr. | Dentist | 3733 Southside Blvd, Suites 5 & 6, Jacksonville, FL 32216-4684 | 2007-01-26 |
| 1568516060 | John Paul Kelley | Case Manager/Care Coordinator | 709 Nw Everett St, Portland, OR 97209-3517 | 2007-01-22 |
| 1598869877 | John Paul Kelley | Physical Medicine & Rehabilitation | 7301 East 2nd St, Ste 315, Scottsdale, AZ 85251-5627 | 2006-09-08 |
| 1740229038 | John W Kelley | Internal Medicine | 191 Deep South Farm Rd, Blairsville, GA 30512-2220 | 2006-06-05 |
| 1063414555 | John S Kelley | Obstetrics & Gynecology | 517 Rose St, Las Vegas, NV 89106-4020 | 2005-08-15 |
| Street Address |
11424 SULLIVAN RD BLDG C STE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162300 | Myriam Aracelis Ortiz-de Jesus' | Pediatrics | 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818-3615 | 2006-05-18 |
| 1265923635 | Ellyn Marks O'neal | Dentist | 11424 Sullivan Rd, Baton Rouge, LA 70818-3615 | 2018-05-22 |
| 1144561408 | Robin Mary Shoun | Nurse Practitioner | 11424 Sullivan Rd, Baton Rouge, LA 70818-3615 | 2013-03-12 |
| 1245469980 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 11424 Sullivan Rd, Bldg A, Suiteb1, Baton Rouge, LA 70818-3615 | 2009-07-02 |
| 1710120332 | Ochsner Clinic LLC | Clinic/Center | 11424 Sullivan Rd, Bldg A, Suite B1, Baton Rouge, LA 70818-3615 | 2009-04-13 |
| 1437320405 | Eyemax Family Optical | Eyewear Supplier (Equipment, not the service) | 11424 Sullivan Rd, Bldg A Suite A, Baton Rouge, LA 70818-3615 | 2008-03-18 |
| 1649449976 | Sleep Management LLC | Durable Medical Equipment & Medical Supplies | 11424 Sullivan Rd, Bldg C, Ste B, Baton Rouge, LA 70818-3615 | 2008-02-20 |
| 1023293099 | Alvin C Moreau Jr Licensed | Physical Therapist | 11424 Sullivan Rd, Bldg C, Suite A, Baton Rouge, LA 70818-3615 | 2008-01-08 |
| 1215000161 | Ashley Marie Fife | Physical Therapist | 11424 Sullivan Rd, Bldg C Ste A, Baton Rouge, LA 70818 | 2006-11-16 |
| 1912954520 | Central Imaging Center, LLC | Clinic/Center | 11424 Sullivan Rd, Bldg. B - Ste. C, Baton Rouge, LA 70818-3615 | 2006-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| Find all providers in zip 70818 | ||||
| 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 |
|---|---|---|---|---|
| 1013514850 | Industrial Center of Baton Rouge | Physical Therapist | 16645 Highland Rd Ste L, Baton Rouge, LA 70810-6567 | 2020-10-05 |
| 1184264947 | Kinetic Physical Therapy | Physical Therapist | 12150 Lake Estates Ave, Baton Rouge, LA 70810-7324 | 2020-01-09 |
| 1104473925 | Arthur James Wilson Iv | Physical Therapist | 11750 Bricksome Ave, Baton Rouge, LA 70816-5331 | 2019-08-26 |
| 1386208890 | Shari Phares Graci | Physical Therapist | 8155 Jefferson Hwy Apt 1306, Baton Rouge, LA 70809-1621 | 2019-04-30 |
| 1710465703 | Ross J Dufrene | Physical Therapist | 6016 N Shore Dr, Baton Rouge, LA 70817-3942 | 2018-08-01 |
| 1356828495 | Caroline Ruiz Denison | Physical Therapist | 1415 Aberdeen Ave, Baton Rouge, LA 70808-3712 | 2018-07-22 |
| 1831681204 | Luke Adam Bunch | Physical Therapist | 750 Jefferson Hwy, Baton Rouge, LA 70806-6118 | 2018-06-01 |
| 1861919060 | Advanced Wellness Louisiana LLC | Physical Therapist | 9808 Bluebonnet Blvd Ste 201, Baton Rouge, LA 70810-6442 | 2017-08-28 |
| 1205288768 | Sydney Kate Green | Physical Therapist | 4000 Lake Beau Pre Blvd, Baton Rouge, LA 70820-4265 | 2016-07-08 |
| 1013362383 | Erin Wright | Physical Therapist | 3022 Gilbert Dr, Baton Rouge, LA 70809 | 2016-04-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
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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.