KELLY MACK (NPI# 1972933646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972933646 |
| Entity Type | Individual |
| Full Name | KELLY MACK |
| Credential | PTA |
| Practice Address |
44480 W Honeycutt Rd #106 Maricopa AZ 85138-2903 |
| Practice Telephone | 5205820142 |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2013-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 10553A | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PHYSICAL THERAPIST ASSISTANT CERTIFICATION | 10553A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578896460 | Kelly Mack | Speech-Language Pathologist | 2124 16th St, Boulder, CO 80302-4354 | 2009-09-10 |
| 1215184056 | Kelly Mack | Physical Therapist | 107 Holly Creek Dr, Irmo, SC 29063-8918 | 2008-08-23 |
| 1780702472 | Kelly Wade Mack | Dentist | 2200 Horseshoe Ln, Longview, TX 75605-5648 | 2007-03-27 |
| 1396813960 | Kelly Leigh Mack | Physician Assistant | 995 N. Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678 | 2006-12-01 |
| 1003468273 | Kelly Lynne Mack | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2019-07-09 |
| 1164692455 | Kelly Jene Mack | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2008-03-03 |
| 1457471542 | Kelly S Mack | Nurse Practitioner | 6001 Research Park Blvd, Madison, WI 53719 | 2007-03-30 |
| 1982742888 | Kelly C Mack | Nurse Practitioner | 1800 Williams St, Suite 200, Denver, CO 80218-1234 | 2007-02-02 |
| 1245308899 | Kelly Anne Mack | Dental Hygienist | 55 E Loop Rd, Grove Dental Assoc Suite 201, Wheaton, IL 60187 | 2006-12-01 |
| Street Address |
44480 W HONEYCUTT RD #106 |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85138-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275667479 | Jared Michael Pope | Dentist | 44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138 | 2007-03-16 |
| 1992246607 | Cherise Montoya | Dental Hygienist | 44480 W Honeycutt Rd, Ste 109, Maricopa, AZ 85138-2903 | 2017-03-14 |
| 1649711359 | Nancy Grant | Dental Hygienist | 44480 W Honeycutt Rd, Ste 109, Maricopa, AZ 85138-2903 | 2017-03-14 |
| 1902230295 | Kristopher Kay Scholes | Dentist | 44480 W Honeycutt Rd, Suite 109, Maricopa, AZ 85138-2903 | 2013-08-22 |
| 1558701698 | Mfdo LLC | Dentist | 44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138-2903 | 2013-07-03 |
| 1770923534 | Dd LLC | Dentist | 44480 W Honeycutt Rd, Ste 109, Maricopa, AZ 85138-2903 | 2013-06-26 |
| 1194076935 | Arlene Valentine | Specialist/Technologist | 44480 W Honeycutt Rd, Maricopa, AZ 85138-2903 | 2012-09-19 |
| 1316208481 | Jared Pope Dds Plc | Dentist | 44480 W Honeycutt Rd, Ste 110, Maricopa, AZ 85138-2903 | 2012-06-05 |
| 1154605863 | Tori Caley Thompson | Specialist | 44480 W Honeycutt Rd, Suite 106, Maricopa, AZ 85138-2903 | 2011-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
| 1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
| 1922657964 | Cathy Jo Rogers | Registered Nurse | 18600 North Porter Road, Maricopa, AZ 85138 | 2019-09-11 |
| 1902463565 | Four Directions LLC | Respite Care | 37724 W Amalfi Ave, Maricopa, AZ 85138 | 2019-05-20 |
| 1972087013 | Kristina Donnay | Family Medicine | 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 | 2018-09-24 |
| 1861909657 | Four Directions LLC | Respite Care | 43989 W Wade Drive, Maricopa, AZ 85138 | 2018-01-03 |
| 1063939411 | Christina Kern | Specialist/Technologist | 42623 W. Colby Dr., Maricopa, AZ 85138 | 2017-08-26 |
| 1205357191 | Konadu Family | Community Based Residential Treatment Facility, Mental Illness | 40030 W Coltin Way, Maricopa, AZ 85138 | 2017-06-29 |
| Find all providers in zip 85138 | ||||
| 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 |
|---|---|---|---|---|
| 1689272296 | Kevin Mccrane | Physical Therapy Assistant | 850 S Highway 80, Benson, AZ 85602-7034 | 2020-10-15 |
| 1679170948 | Eric Pinedo | Physical Therapy Assistant | 1712 W Glendale Ave, Phoenix, AZ 85021-8816 | 2020-10-08 |
| 1396352290 | Dawn Cherie Bybee | Physical Therapy Assistant | 500 N Us Highway 89 Rm 111, Prescott, AZ 86313-5001 | 2020-09-25 |
| 1689286627 | Zarrina Denise Hunt | Physical Therapy Assistant | 14380 S Via Del Moro, Sahuarita, AZ 85629-8451 | 2020-08-20 |
| 1881202299 | Total Pediatric Therapy Inc | Physical Therapy Assistant | 4730 E Lone Mountain Rd Ste 116, Cave Creek, AZ 85331-5539 | 2020-07-21 |
| 1174131098 | Kelly Leann Brennan | Physical Therapy Assistant | 8679 E San Alberto, Scottsdale, AZ 85258-4368 | 2020-07-16 |
| 1306467527 | Matthew Noble | Physical Therapy Assistant | 1951 N Wilmot Rd # 3c, Tucson, AZ 85712-8000 | 2020-04-28 |
| 1497388375 | Joshua Taylor Ryan | Physical Therapy Assistant | 21321 E Ocotillo Rd Ste 122, Queen Creek, AZ 85142-5994 | 2020-02-19 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1669022778 | Leonel Ortiz | Physical Therapy Assistant | 304 N Los Robles Dr, Goodyear, AZ 85338-1425 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
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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.