DEREK ALAN WILSON (NPI# 1043829302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043829302 |
| Entity Type | Individual |
| Full Name | DEREK ALAN WILSON |
| Practice Address |
4160 Piedmont Pkwy Ste 207 Greensboro NC 27410-8174 |
| Mailing Address |
5202 Olde Forest Dr Greensboro NC 27406-8763 |
| Practice Telephone | 3366456733 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134640741 | Derek James Wilson | Pharmacist | 2a Walter E Foran Blvd, Flemington, NJ 08822 | 2017-07-05 |
| 1093143950 | Derek Wilson | Counselor | 204 S Irwin Ave, Charlotte, NC 28202-1117 | 2013-10-30 |
| 1841668035 | Derek Timothy Wilson | Nurse Anesthetist, Certified Registered | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2015-09-04 |
| 1558760132 | Derek James Wilson | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-0371 | 2014-08-19 |
| 1114348729 | Derek James Wilson | Counselor | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2013-12-27 |
| 1417034026 | Derek Edward Wilson | Physician Assistant | 800 W Laurel St, Independence, KS 67301-3211 | 2006-11-01 |
| Street Address |
4160 PIEDMONT PKWY STE 207 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-8174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940581 | Toria Davenport | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-22 |
| 1093312563 | Neil Douglas Michaud | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-10-07 |
| 1437766052 | Nakel Mayes-sanford | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-09-28 |
| 1699382317 | Kimberly Eggers | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| 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 |
|---|---|---|---|---|
| 1770193153 | Kattiesha Plum | Developmental Therapist | 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 | 2020-07-31 |
| 1255940581 | Toria Davenport | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-22 |
| 1144796509 | Dawn Thornhill | Developmental Therapist | 3107 Bannock Ln, Greensboro, NC 27410-8290 | 2018-10-23 |
| 1760852131 | Olivia Odum | Developmental Therapist | 1567 New Garden Rd Apt 3a, Greensboro, NC 27410 | 2015-09-29 |
| 1780703348 | Nancy Eades | Developmental Therapist | 3511 W Market St Ste B, Greensboro, NC 27403-4442 | 2007-03-28 |
| 1093312563 | Neil Douglas Michaud | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-10-07 |
| 1437766052 | Nakel Mayes-sanford | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-09-28 |
| 1699382317 | Kimberly Eggers | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-09-27 |
| 1548617640 | Kimberly Moles | Developmental Therapist | 3201 W Market St, Greensboro, NC 27403-1455 | 2016-05-18 |
| 1699027060 | Norma Mclamb | Developmental Therapist | 3511 W Market St Ste B, Greensboro, NC 27403-4442 | 2012-10-10 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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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.