Kelly Hinde, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2006001795 Issued in MO

Practice address

1214 Freedom Blvd
Jefferson City, MO 65109-0082

Phone

(573) 634-5408

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelly Harmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1508088444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "877-787-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 FREEDOM BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651090082",
            "telephone_number": "573-634-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDE",
        "first_name": "KELLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2006001795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HARMON",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hill Rehab & Manual Therapy, LLC
• Hill-Rom Company, Inc
• Brian A Hill, P.T.
• Joyce Hill, NURSE
• Rodd L Hillard, M.D.
• Alisha Marie Hinds, D.O.
• Susan Hodges-Earnest, FNP
• Audrey Rose Hoff
• Megan Hoffmeyer, M.S., CCC-SLP
• Rebecca Lynn Hogg, M.D.

• Physical Therapy Assistant in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.