CHRISTIE LYNNE WILEY


Address: 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618
Phone: (904) 886-3228

CHRISTIE LYNNE WILEY (NPI# 1063934834) 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) 1063934834
Entity Type Individual
Full Name CHRISTIE LYNNE WILEY
Practice Address 12276 San Jose Blvd Ste 508
Jacksonville
FL 32223-8618
Practice Telephone (904) 886-3228
Practice Fax Number 9048863297
Mailing Telephone 9048863228
Mailing Fax Number 9048863297
Enumeration Date 2017-07-12
Last Update Date 2017-07-12
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 12276 SAN JOSE BLVD STE 508
City JACKSONVILLE
State FL
Zip Code 32223-8618

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538223078 Sarah Chaloupek Physical Therapist 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2006-12-20
1356941033 Lindsey Page Griffis Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-10-30
1942800446 Cristina M Guy Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-10-26
1396343091 Kaitlin Amanda Mealor Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-10-14
1316554660 Jay-lee E Schmidt Physical Therapist 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-09-29
1043826555 Taliyah Fleming Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-09-20
1770198251 Rachael Lee Rubright Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-09-11
1790398485 Jennifer Madrid Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-08-24
1619587862 Parker-lynn Jackson Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-08-03
1922626175 Amanda Hovnanian Behavior Technician 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618 2020-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679103600 Karen Gabriela Alexander Dietitian, Registered Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 2020-01-17
1891250049 Thalia L Honea Occupational Therapist 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 2019-02-01
1447758289 Stephanie Ann Murphy Marriage & Family Therapist 11543 Halethorpe Drive, Jacksonville, FL 32223 2018-01-26
1861948481 Nicole Gay Developmental Therapist 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 2016-09-01
1740694439 Robyn K Mizelle Behavioral Analyst 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 2014-06-20
1184038010 Kelli Anne Cabrera Occupational Therapist 12350 San Jose Blvd, Jacksonville, FL 32223 2014-06-18
1891031910 Mandarin Family Medicine, P.a. Preferred Provider Organization 12276-210 San Jose Blvd, Jacksonville, FL 32223 2012-12-18
1114201811 Darshana Choksi Pharmacist 3663 Marbon Rd, Jacksonville, FL 32223 2011-09-30
1346539988 Harris Wilcox and Donovan Pa Optometrist 11790 San Jose Bl, Jacksonville, FL 32223 2011-04-05
1740517796 Beth A. Kelley Occupational Therapist 2640 Scott Mill Dr, Jacksonville, FL 32223 2009-11-12
Find all providers in zip 32223

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
1104436963 Cassandra Hert Developmental Therapist 13738 Alesbury Ct, Jacksonville, FL 32224-2236 2020-08-06
1710543897 Angela Marie Simons Developmental Therapist 14030 Ivylgail Dr N, Jacksonville, FL 32225-2024 2019-05-14
1861954950 Darnise Lashelle Price Developmental Therapist 18 Woodbriar Dr, Jacksonville, AR 72076-5365 2019-04-05
1255804977 Christina Maton Developmental Therapist 11041 Ridge Point Dr, Jacksonville, FL 32257-3717 2019-01-04
1811415847 Kimberly Armstrong Developmental Therapist 1206 Turtle Creek Dr. S, Jacksonville, FL 32218 2017-08-30
1407395205 Mary Christina Bush Developmental Therapist 1274 Surfway Ct, Jacksonville, FL 32233-2241 2017-02-14
1922554575 Lavoris Andrew Mobley Developmental Therapist 9000 Cypress Green Drive, Jacksonville, FL 32256 2016-09-01
1861948481 Nicole Gay Developmental Therapist 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 2016-09-01
1134676711 Katelyn Luksha Developmental Therapist 6867 Southpoiont Drive North, Jacksonville, FL 32216 2016-09-01
1780057794 Nicole Terry Developmental Therapist 3610 N Ride Dr, Jacksonville, FL 32223-7489 2015-11-12
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32223

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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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