MR. ANDREW EDWARD KELLY (NPI# 1871593004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871593004 |
Entity Type | Individual |
Full Name | MR. ANDREW EDWARD KELLY |
Credential | P.T. |
Practice Address |
165 N Redwood Dr San Rafael CA 94903-1969 |
Mailing Address |
165 N Redwood Dr San Rafael CA 94903-1970 |
Practice Telephone | 4154990278 |
Practice Fax Number | 4154990297 |
Mailing Telephone | 4154990278 |
Mailing Fax Number | 4154990297 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2007-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225100000X | Physical Therapist | 15707 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD GROUP NUMBER | ZZZ64636Z | 01 |
CA | BLUE SHIELD IND PROV NO | OPT15707 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992888242 | Andrew Wayne Kelly | Dentist | 5710 W Gate City Blvd, Greensboro, NC 27407-7061 | 2006-10-23 |
1073625018 | Andrew John Kelly | Physician Assistant | 824 Main Street, Suite 100, Phoenixville, PA 19460 | 2006-08-31 |
1316920895 | Andrew P Kelly | Radiology | 555 E Hardy Street, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2005-11-29 |
1700348729 | Andrew David Kelly | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2019-04-01 |
1417422171 | Andrew Kelly | Assistant Behavior Analyst | 12505 Starkey Rd Ste J, Largo, FL 33773-2617 | 2018-10-09 |
1619467081 | Andrew Kelly | Counselor | 2715 Colonial Dr Ste 200a, Columbia, SC 29203-6818 | 2018-05-11 |
1396250981 | Andrew Kelly | Physical Therapist | 13330 Bloomfield Ave Ste 101, Norwalk, CA 90650-3259 | 2017-12-05 |
1104356377 | Andrew Nicholas Kelly | Physician Assistant | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2017-06-19 |
1831519420 | Andrew Kelly | Student in an Organized Health Care Education/Training Program | 79 Retreat Avenue, Adult Primary Care Brownstone Clinic, Farmington, CT 06032 | 2014-04-22 |
1437492949 | Andrew Louis Kelly | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2013-04-03 |
Street Address |
165 N REDWOOD DR |
City | SAN RAFAEL |
State | CA |
Zip Code | 94903-1969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467788257 | Alissa Michelle Sanchez | Physical Therapist | 165 N Redwood Dr, Suite 120, San Rafael, CA 94903-1969 | 2009-10-28 |
1639336928 | Alyssa Keeney-roe | Physical Therapist | 165 N Redwood Dr, Suite 120, San Rafael, CA 94903-1969 | 2008-05-22 |
1700043221 | Jesse Russell Modica | Physical Therapist | 165 N Redwood Dr, Suite 120, San Rafael, CA 94903-1969 | 2008-05-21 |
1790802221 | Matt W Sellers | Specialist | 165 N Redwood Dr, Suite 120, San Rafael, CA 94903-1969 | 2007-03-22 |
1275658148 | Marin Physical Therapy, Inc. | Specialist | 165 N Redwood Dr, Suite #120, San Rafael, CA 94903-1969 | 2007-03-20 |
1982605903 | John Chris Besonis | Physical Therapist | 165 N Redwood Dr, Suite 120, San Rafael, CA 94903-1969 | 2005-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
Find all providers in zip 94903 |
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 |
---|---|---|---|---|
1205329125 | Shirley Rombouts Taylor | Physical Therapist | 80 Creekside Dr, San Rafael, CA 94903-1055 | 2018-06-14 |
1588172878 | Scott William Hubert | Physical Therapist | 143 Ridgewood Dr, San Rafael, CA 94901-1136 | 2018-01-20 |
1992231781 | Michael Raymond Verolini | Physical Therapist | 757 Bamboo Ter, San Rafael, CA 94903-3117 | 2017-05-11 |
1790132470 | Donna Semenza Roche | Physical Therapist | 581 Woodbine Dr, San Rafael, CA 94903-2463 | 2016-05-23 |
1497126726 | Elise Tarrant | Physical Therapist | 126 Greenwood Ave, San Rafael, CA 94901-3625 | 2015-10-13 |
1730586769 | Benjamin Pierce Costa | Physical Therapist | 51 Lochinvar Rd, San Rafael, CA 94901-2446 | 2014-11-19 |
1154740223 | Tim Turner | Physical Therapist | 185 N Redwood Dr, Suite 150, San Rafael, CA 94903-1973 | 2014-04-15 |
1497040612 | Joan Barbara Collins | Physical Therapist | 32 River Oaks Rd, San Rafael, CA 94901-1036 | 2011-06-15 |
1841599495 | Cheryl Williams | Physical Therapist | 135 Tamal Vista Dr, San Rafael, CA 94901-1645 | 2011-03-22 |
1750693115 | Kelley Kathryn O'connor Park | Physical Therapist | 1099 D St Ste 105, San Rafael, CA 94901-2839 | 2010-07-13 |
Find all providers in SAN RAFAEL |
City | SAN RAFAEL |
Zip Code | 94903 |
Please comment or provide details below to improve the information on MR. ANDREW EDWARD KELLY.
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.