CHAD RICHARD TEBO (NPI# 1063800159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063800159 |
| Entity Type | Individual |
| Full Name | CHAD RICHARD TEBO |
| Practice Address |
345a Greenwood Street, Suite B Worcester MA 01535-1982 |
| Practice Telephone | 5083630200 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
345A GREENWOOD STREET, SUITE B |
| City | WORCESTER |
| State | MA |
| Zip Code | 01535-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689085359 | Micaela Grady | Behavioral Analyst | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2014-05-15 |
| 1821630641 | Jessica Rodriguez | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2019-10-14 |
| 1366096562 | Jessica Rivera | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2019-07-26 |
| 1639656572 | Melanie Marie Pinto | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01602 | 2018-07-24 |
| 1235616020 | Tyrae Sims | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2018-07-24 |
| 1114412533 | Matthew Gray | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2018-06-27 |
| 1164939591 | Kayla Lynne Hogan | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2018-01-08 |
| 1881113694 | Shannon Renee Keith | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2017-09-12 |
| 1477079507 | Rachel Yien | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2017-08-21 |
| 1699204040 | Frances M Cartagena | Behavioral Analyst | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689863623 | Jennifer Damico Oconnor | Durable Medical Equipment & Medical Supplies | 355 N Main St, North Brookfield, MA 01535 | 2007-10-16 |
| 1245206440 | Timothy Albert Oconnor | Optometrist | 355 N Main St, North Brookfield, MA 01535 | 2006-02-27 |
| 1760456651 | Jennifer Damico | Optometrist | 355 N Main St, North Brookfield, MA 01535 | 2006-02-15 |
| 1396026811 | Albert Lawremce Hasenfus | Social Worker | 20 Cider Mill Rd, N Brookfield, MA 01535-1002 | 2011-08-30 |
| 1780187534 | Abbigail Jonah Canfield | Technician, Other | 26 W Brookfield Rd, North Brookfield, MA 01535-1344 | 2018-03-16 |
| 1871687459 | Wendy Ann Sergeant | Nurse Practitioner | 163 N Main St, North Brookfield, MA 01535-1400 | 2006-10-03 |
| 1336782275 | Albert Byron Olivera | Nurse Practitioner | 163 N Main St, North Brookfield, MA 01535-1400 | 2019-10-23 |
| 1124250352 | Romeg Enterprises PC | Clinic/Center | 163 N Main St, North Brookfield, MA 01535-1400 | 2009-08-21 |
| 1073621454 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 5 Gilbert St, N Brookfield, MA 01535-1409 | 2006-08-27 |
| 1295336188 | Danielle Cutler | Pharmacist | 5 Gilbert St, North Brookfield, MA 01535-1409 | 2020-11-05 |
| Find all providers in zip 01535 | ||||
| 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 |
|---|---|---|---|---|
| 1235773599 | Marylu Bermudez | Developmental Therapist | 47 Solferino St, Worcester, MA 01604-1721 | 2019-10-30 |
| 1083261440 | Sara Konda | Developmental Therapist | 388 Plantation St, Worcester, MA 01605-2325 | 2019-08-21 |
| 1396391181 | Anthony Johnson | Developmental Therapist | 57 King St Apt 3, Worcester, MA 01610-2491 | 2019-08-16 |
| 1245890664 | Hajarah Shakir | Developmental Therapist | 35a Greenwood St, Worcester, MA 01607 | 2019-06-18 |
| 1275197824 | Alexander Scott Beebe | Developmental Therapist | 345a Greenwood St Ste A, Worcester, MA 01607-1753 | 2019-04-30 |
| 1669934097 | Alicia Beshaw | Developmental Therapist | 18 Upland Gardens Dr Apt 7, Worcester, MA 01607-1679 | 2019-04-04 |
| 1083172126 | Magdaline Gonzalez | Developmental Therapist | 147 Providence St, Worcester, MA 01604-5414 | 2019-03-07 |
| 1508323205 | Aerielle Bisono | Developmental Therapist | 21 Marble St Apt D, Worcester, MA 01603-2476 | 2019-02-28 |
| 1265998363 | Marisol Leon | Developmental Therapist | 2 Eustis St, Worcester, MA 01606-1120 | 2019-02-13 |
| 1174097711 | Yerkely Gomez | Developmental Therapist | 345a Greenwood St # At, Worcester, MA 01607-1753 | 2019-01-16 |
| Find all providers in WORCESTER | ||||
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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.