MRS. KELLY NICOLE EMERSON (NPI# 1831484096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831484096 |
| Entity Type | Individual |
| Full Name | MRS. KELLY NICOLE EMERSON |
| Credential | L.M.T, P.T.A |
| Practice Address |
240 Red Tail Ste. 3 & 4 Orchard Park NY 14127-1581 |
| Mailing Address |
240 Red Tail Dr. Ste. 3 & 4 Orchard Park NY 14127 |
| Practice Telephone | 7166749600 |
| Practice Fax Number | 7166749700 |
| Mailing Telephone | 7166749600 |
| Mailing Fax Number | 7166749700 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 019962 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003393224 | Kelly M Emerson | Nurse Practitioner | 508 S Church St, Mt Pleasant, PA 15666-1702 | 2018-07-20 |
| 1215443668 | Kelly Jo Emerson | Massage Therapist | 51 Pine St, Unit G, Sandpoint, ID 83864 | 2017-12-21 |
| 1952580961 | Kelly Emerson | Physical Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2007-10-25 |
| Street Address |
240 RED TAIL STE. 3 & 4 |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374023 | Julie Anne Szumigala | Obstetrics & Gynecology | 240 Red Tail, Ste 5&6, Orchard Park, NY 14127-1581 | 2005-05-31 |
| 1457675936 | Ellen Suzanne West | Social Worker | 240 Red Tail, Suite 8, Orchard Park, NY 14127-1581 | 2010-03-26 |
| 1912145855 | Patrick J Hughes, Md PC | Psychiatry & Neurology | 240 Red Tail, Suite #10, Orchard Park, NY 14127-1581 | 2009-01-30 |
| 1205962982 | Patrick J. Hughes | Psychiatry & Neurology | 240 Red Tail, Suite #10, Orchard Park, NY 14127 | 2007-02-26 |
| 1588790158 | Kristina Noelle Castillo | Social Worker | 240 Red Tail, Suites 7&8, Orchard Park, NY 14127-1581 | 2007-02-26 |
| 1306925151 | Kirchmyer & Goode Physical Therapists PC | Physical Therapist | 240 Red Tail, Suite 3, Orchard Park, NY 14127-1581 | 2006-11-03 |
| 1013097211 | Meredith S Baker | Social Worker | 240 Red Tail, Suite 8, Orchard Park, NY 14127-1581 | 2006-10-16 |
| 1821053026 | Richard G Bennett | Psychiatry & Neurology | 240 Red Tail, Suite 8, Orchard Park, NY 14127-1581 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347300 | Emily Mrozinski | Massage Therapist | 3911 N Buffalo St, Orchard Park, NY 14127-1841 | 2020-08-19 |
| 1538689211 | Amy Alma Pfeiffer | Massage Therapist | 3953 N Buffalo St, Orchard Park, NY 14127-1841 | 2017-06-22 |
| 1841613379 | Samantha Noeson | Massage Therapist | 3776 N Buffalo St, Orchard Park, NY 14127-1855 | 2014-02-04 |
| 1497015945 | Alyssa Justine Haj | Massage Therapist | 4164 N Buffalo Rd, Orchard Park, NY 14127-2415 | 2012-05-17 |
| 1275806812 | Shirley A. Conrad Inc | Massage Therapist | 4211 North Buffalo Street, Orchard Park, NY 14127 | 2012-02-13 |
| 1861670481 | Marilyn Jean Found | Massage Therapist | 3518 Southwestern Blvd, Lower Level, Orchard Park, NY 14127 | 2008-02-06 |
| 1023295896 | Jamie Randall | Massage Therapist | 3445 Orchard Park Rd, Orchard Park, NY 14127-1660 | 2008-01-23 |
| 1073523429 | Shawna M Hunt | Massage Therapist | 6179 W Quaker St, Orchard Park, NY 14127-2640 | 2006-08-08 |
| 1548726342 | Lorne Marshall | Massage Therapist | 3685 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2019-02-17 |
| 1366965352 | Melissa Lyn Acquino | Massage Therapist | 3953 N Buffalo St, Orchard Park, NY 14127-1841 | 2017-07-20 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
Please comment or provide details below to improve the information on MRS. KELLY NICOLE EMERSON.
| 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.