MRS. KELLY MICHELLE NORMAN (NPI# 1851500227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851500227 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MICHELLE NORMAN |
| Other Name | MISS KELLY MICHELLE KIENITZ |
| Credential | P.T.A. |
| Practice Address |
1375 S Carrington Ln De Pere WI 54115-4227 |
| Mailing Address |
1357 Ponderosa Ave Green Bay WI 54313-5944 |
| Practice Telephone | 9202277210 |
| Mailing Telephone | 9205696349 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 528-019 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40478800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545880 | Kelly Norman | Behavior Technician | 2121 41st Ave, Capitola, CA 95010-2056 | 2019-12-11 |
| 1164927489 | Kelly Ann Norman | Technician, Pathology | 162 Sharp and Perkins Rd, Jacksboro, TN 37757-2507 | 2018-03-28 |
| 1598274953 | Kelly Norman | Psychologist | 1028 Main St, Buffalo, NY 14202-1102 | 2017-09-28 |
| 1760736516 | Kelly L. Norman | Social Worker | 555 Towner St, Ypsilanti, MI 48198-5752 | 2012-11-01 |
| 1326070947 | Kelly P Norman | Obstetrics & Gynecology | 1348 Walton Way, Suite 4100, Augusta, GA 30901-5104 | 2006-07-06 |
| Street Address |
1375 S CARRINGTON LN |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| 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 |
|---|---|---|---|---|
| 1255733424 | Sara Ann Friske | Physical Therapy Assistant | 200 S 9th Street, De Pere, WI 54115 | 2014-09-19 |
| 1629327200 | Anna Wissink | Physical Therapy Assistant | 200 S. Ninth St., Rennes Health and Rehab Center, De Pere, WI 54115 | 2012-08-29 |
| 1760776009 | Tracy Lynn Legg | Physical Therapy Assistant | 1018 Bluebird St, De Pere, WI 54115-3116 | 2011-06-03 |
| 1518275163 | Daniel M Lieuwen | Physical Therapy Assistant | 217 1/2 Pleasant Pl, De Pere, WI 54115-1944 | 2010-09-16 |
| 1245789551 | Lori Johansen | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2016-09-27 |
| 1205210093 | Christina Lapalm | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2015-07-13 |
| 1184040982 | Shannon Andrews | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2014-03-17 |
| 1831442672 | Sarah Schindel | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2012-10-17 |
| 1831447994 | Ewa Maria Narkiewicz-jodko | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2012-08-21 |
| 1144538273 | Deborah K Young | Physical Therapy Assistant | 200 S 9th St, De Pere, WI 54115-1393 | 2010-09-23 |
| Find all providers in DE PERE | ||||
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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.