KELLY R CARLSON (NPI# 1902304777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902304777 |
| Entity Type | Individual |
| Full Name | KELLY R CARLSON |
| Credential | DPT |
| Practice Address |
3365 Central Park Village Dr # 100 Eagan MN 55121-7707 |
| Mailing Address |
7825 3rd St N Ste 105 Oakdale MN 55128-5444 |
| Practice Telephone | 9528354512 |
| Practice Fax Number | 9525165655 |
| Mailing Telephone | 9528354512 |
| Mailing Fax Number | 9525165655 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1538424601 | Kelly Carlson | Internal Medicine | 7447 W Talcott Ave Ste 200, Chicago, IL 60631-3713 | 2012-07-05 |
| 1780985507 | Kelly E Carlson | Social Worker | 468 W 153rd St, 2b, New York, NY 10031-1117 | 2010-11-10 |
| 1801069786 | Kelly A. Carlson | Developmental Therapist | 1131 Maple Ln, Batavia, IL 60510-1185 | 2008-04-10 |
| 1215582283 | Kelly Marie Carlson | Speech-Language Pathologist | 100 3rd Ave S, Carrington, ND 58421-2263 | 2019-08-07 |
| 1285187542 | Kelly Carlson | Nurse Practitioner | 24 Compton Rd Ste 205, Cincinnati, OH 45216-1036 | 2016-08-03 |
| 1720326408 | Kelly L Carlson | Counselor | 5500 Military Trl, #22-106, Jupiter, FL 33458-2869 | 2013-01-30 |
| 1548402654 | Kelly A. Carlson | Nurse Practitioner | 2347 Jones Bend Rd, Peninsula Hospital, Louisville, TN 37777-5213 | 2009-04-03 |
| 1952432288 | Kelly Jo Carlson | Specialist/Technologist | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2007-03-08 |
| 1083749964 | Kelly Carlson | Speech-Language Pathologist | 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121-1119 | 2007-02-22 |
| Street Address |
3365 CENTRAL PARK VILLAGE DR # 100 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-7707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| 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 |
|---|---|---|---|---|
| 1265962112 | Dave Kocer | Physical Therapist | 2620 Eagan Woods Dr, Eagan, MN 55121-1138 | 2017-06-14 |
| 1235687005 | Charlotte Brenteson | Physical Therapist | 1520 Thomas Lake Pointe Rd, #104, Eagan, MN 55122-2566 | 2016-09-21 |
| 1881141349 | Fairview Health Services | Physical Therapist | 3305 Central Park Village Drive, Suite 130, Eagan, MN 55121-7707 | 2016-09-01 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1467866798 | Kathryn Marie Haug | Physical Therapist | 3605 Tanglewood Ct, Eagan, MN 55123-2415 | 2014-06-14 |
| 1427101286 | Mark D Schroeckenstein | Physical Therapist | 1012 Diffley Rd, Eagan, MN 55123-1778 | 2007-01-18 |
| 1497835029 | Sandra J. Ohlenschlager | Physical Therapist | 2119 Cliff Rd, Eagan, MN 55122-2345 | 2006-10-17 |
| 1710099890 | Keely Christine Behning | Physical Therapist | 1284 Corporate Center Dr Ste 500, Eagan, MN 55121-1280 | 2006-08-31 |
| 1013026384 | Kevin Todd Josephson | Physical Therapist | 4067 Halite Ln, Eagan, MN 55122-2924 | 2006-08-30 |
| 1659486264 | Eric James Preslaski | Physical Therapist | 3305 Central Park Village Dr Ste 150, Eagan, MN 55121-7707 | 2006-08-21 |
| Find all providers in EAGAN | ||||
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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.