JENA ELIZABETH ROTH


Address: 120 School St, Apt #5, Somerville, MA 02143-1745
Phone: 6128501066

JENA ELIZABETH ROTH (NPI# 1023334182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023334182
Entity Type Individual
Full Name JENA ELIZABETH ROTH
Credential B.S.
Practice Address 120 School St
Apt #5
Somerville
MA 02143-1745
Practice Telephone 6128501066
Mailing Telephone 6128501066
Enumeration Date 2010-04-14
Last Update Date 2011-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 120 SCHOOL ST
APT #5
City SOMERVILLE
State MA
Zip Code 02143-1745

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1245600501 Libby Vilner Social Worker 12 Tyler St., Somerville, MA 02143 2015-09-30
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003290131 Rosalie A. Leininger Developmental Therapist 12 Tyler Street, Somerville, MA 02143 2015-07-18
1225283559 Roxann Miller Developmental Therapist 61 Medford Street, Somerville, MA 02143 2008-12-01
1154504306 Laura D'angelo Developmental Therapist 61 Medford St Ste 1, Somerville, MA 02143-3422 2007-12-11
1699308007 Elizabeth Wilcosky Lee Developmental Therapist 12 Tyler St, Somerville, MA 02143-3241 2020-02-14
1174090898 Ana C Layrisse Developmental Therapist 12 Tyler St, Somerville, MA 02143-3241 2018-10-31
1215421862 Christine Anne Rebelo Developmental Therapist 12 Tyler St, Somerville, MA 02143-3241 2018-06-18
1518328327 Victoria Mak Developmental Therapist 12 Tyler St, Somerville, MA 02143-3241 2016-03-08
1295116549 Ashley Marie Keating Developmental Therapist 12 Tyler St, Somerville, MA 02143-3241 2015-06-12
1114339546 Ashley Lemmonds Developmental Therapist 12 Tyler St, Somerville, MA 02143-3241 2014-05-20
1992130892 Julie V Howard Developmental Therapist 12 Tyler St, Somerville, MA 02143-3241 2013-09-10
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Competitor

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City SOMERVILLE
Zip Code 02143

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Dataset Information

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.

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