SHANNON ZIMMER (NPI# 1013322007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013322007 |
| Entity Type | Individual |
| Full Name | SHANNON ZIMMER |
| Practice Address |
54 Bluff Ave La Grange IL 60525-3678 |
| Practice Telephone | 7086016412 |
| Practice Fax Number | 6307870484 |
| Mailing Telephone | 7086016412 |
| Mailing Fax Number | 6307870484 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
54 BLUFF AVE |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205242179 | Tracy Michelle Webb | Developmental Therapist | 2220 Margate Ct, La Grange, KY 40031-8689 | 2014-07-10 |
| 1073958625 | Michelle Marie Mcintosh | Developmental Therapist | 3711 Echo Valley Cir, La Grange, KY 40031-9644 | 2013-05-08 |
| 1205158052 | Jennifer Brennan | Developmental Therapist | 733 S La Grange Rd, La Grange, IL 60525-6726 | 2010-02-22 |
| 1467688432 | Paige Pontrelli | Developmental Therapist | 508 S La Grange Rd, La Grange, IL 60525-6732 | 2009-06-04 |
| 1851561450 | Jennifer Sims | Developmental Therapist | 424 East Ave, La Grange, IL 60525-6814 | 2008-03-11 |
| 1619581097 | Stacey Michelle Brothers | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2020-09-03 |
| 1942861117 | Kerry Dianne Minderman | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-06-27 |
| 1497315782 | Shandela Hope Brewer | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-06-18 |
| 1467917302 | Nancy C Downs | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-02-05 |
| 1043789217 | Emily Janelle Pile | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2018-11-17 |
| Find all providers in LA GRANGE | ||||
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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.