MRS. KELLY ANN JEFFERY (NPI# 1790959617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790959617 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ANN JEFFERY |
| Other Name | MISS KELLY ANN BOLAND |
| Credential | DPT |
| Practice Address |
341 10th Ave Suite 101 Royersford PA 19468-3807 |
| Mailing Address |
676 Dekalb Pike Suite 205 Blue Bell PA 19422-1223 |
| Practice Telephone | 6107928100 |
| Practice Fax Number | 6107921535 |
| Mailing Telephone | 6102700370 |
| Mailing Fax Number | 6102700374 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT019201 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346587706 | Kelly R Jeffery | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2013-01-05 |
| Street Address |
341 10TH AVE SUITE 101 |
| City | ROYERSFORD |
| State | PA |
| Zip Code | 19468-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240025 | Lauren Michele Kelly | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2005-07-26 |
| 1326601584 | Garrett Drumheller | Physical Therapist | 341 10th Ave, Royersford, PA 19468-3807 | 2019-04-15 |
| 1982152914 | Jonathan Kritz | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2016-09-19 |
| 1497203624 | Alyson Melnyczenko | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2016-09-16 |
| 1003283011 | Katie Angelucci | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2015-08-25 |
| 1568840858 | Andrew Ward | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2015-05-07 |
| 1992059943 | Alyssa Diefenderfer | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2012-10-30 |
| 1841519279 | Claire Wiedmann | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2010-05-25 |
| 1982695490 | Todd A Logic | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3806 | 2005-11-03 |
| 1255331930 | Eric Vincent Braun | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3806 | 2005-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942797535 | Phycare Asc, LLC | Clinic/Center | 475 Enterprise Drive, Suite 100, Royersford, PA 19468 | 2018-04-18 |
| 1427563840 | Blake Edward Tressler | Chiropractor | 332 West Ridge Pike, Limerick, PA 19468 | 2017-12-07 |
| 1235653205 | Ability Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 410 W Linfield Trappe Rd Ste 110, Royersford, PA 19468 | 2017-08-01 |
| 1083136907 | Jason Mahesh Sampat | Dentist | 8 White Crow Circle, Royersford, PA 19468 | 2017-07-12 |
| 1770012130 | Andre Omar Hewitt | Counselor | 1210 Foxmeadow Dr, Royersford, PA 19468 | 2017-06-08 |
| 1255879359 | Christina Lee | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468 | 2017-02-09 |
| 1083068571 | Lauren Zanikos | Dietitian, Registered | Bodymetrix Health and Wellness Services, 403 W. Ridge Pike, Limerick, PA 19468 | 2016-04-20 |
| 1386006708 | Chetan Nayak | Physical Therapist | 216 Lakeview Drive, 216, Royersford, PA 19468 | 2016-03-24 |
| 1053777037 | Komal Sampat | Dentist | Ambler Dental Care, 602 South Bethlehem Pike, C2, Ambler, PA 19468 | 2016-01-06 |
| 1902261332 | Tracey L Gunther | Behavioral Analyst | 296 W Riige Pike Ste 205, Limerick, PA 19468 | 2015-12-30 |
| Find all providers in zip 19468 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576679 | Emily Moatz | Physical Therapist | 649 N Lewis Rd Ste 225, Royersford, PA 19468-1234 | 2018-08-03 |
| 1033743463 | Jacob Lawrence | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468-3807 | 2020-02-25 |
| 1205478930 | Alissa Zajac | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468-3807 | 2019-10-15 |
| 1225679319 | Jonathan Mayes | Physical Therapist | 649 N Lewis Rd Ste 225, Royersford, PA 19468-1234 | 2019-10-01 |
| 1326601584 | Garrett Drumheller | Physical Therapist | 341 10th Ave, Royersford, PA 19468-3807 | 2019-04-15 |
| 1114413879 | Zachary Roy | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468 | 2018-07-06 |
| 1457854838 | Melissa Tighe | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468-3807 | 2018-03-13 |
| 1346752243 | Kelly Nelson | Physical Therapist | 341 10th Ave Ste 101, Royersford, PA 19468-3807 | 2017-11-01 |
| 1457892036 | Alaina Kramer | Physical Therapist | 649 N Lewis Rd, Suite 225, Royersford, PA 19468-1234 | 2017-03-15 |
| 1982152914 | Jonathan Kritz | Physical Therapist | 341 10th Ave, Suite 101, Royersford, PA 19468-3807 | 2016-09-19 |
| Find all providers in ROYERSFORD | ||||
| City | ROYERSFORD |
| Zip Code | 19468 |
Please comment or provide details below to improve the information on MRS. KELLY ANN JEFFERY.
| 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.