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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
12276 SAN JOSE BLVD STE 508 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32223-8618 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | JACKSONVILLE |
Zip Code | 32223 |
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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.