MICHELLE MARIE MCINTOSH (NPI# 1073958625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073958625 |
| Entity Type | Individual |
| Full Name | MICHELLE MARIE MCINTOSH |
| Practice Address |
3711 Echo Valley Cir La Grange KY 40031-9644 |
| Practice Telephone | 5023969700 |
| Mailing Telephone | 5023969700 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916351 | Michelle Mcintosh | Registered Nurse | 11582 17th Street, Tacoma, WA 98433 | 2016-03-30 |
| 1699821462 | Michelle Long Mcintosh | Counselor | 1925 Century Blvd Ne Ste 8, Atlanta, GA 30345-3315 | 2007-01-26 |
| 1316564131 | Michelle Charney Mcintosh | Clinical Nurse Specialist | 365 East St, Tewksbury, MA 01876-1950 | 2020-06-27 |
| 1396257580 | Michelle Edwards Mcintosh | Behavior Technician | 10081 Nw 3rd Ct, Plantation, FL 33324-7049 | 2017-10-29 |
| 1184994246 | Michelle Mcintosh | Pharmacist | 4582 E Highway 20, Niceville, FL 32578-9724 | 2012-01-06 |
| Street Address |
3711 ECHO VALLEY CIR |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-9644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| 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 |
|---|---|---|---|---|
| 1205242179 | Tracy Michelle Webb | Developmental Therapist | 2220 Margate Ct, La Grange, KY 40031-8689 | 2014-07-10 |
| 1013322007 | Shannon Zimmer | Developmental Therapist | 54 Bluff Ave, La Grange, IL 60525-3678 | 2014-06-27 |
| 1205158052 | Jennifer Brennan | Developmental Therapist | 733 S La Grange Rd, La Grange, IL 60525-6726 | 2010-02-22 |
| 1467688432 | Paige Pontrelli | Developmental Therapist | 508 S La Grange Rd, La Grange, IL 60525-6732 | 2009-06-04 |
| 1851561450 | Jennifer Sims | Developmental Therapist | 424 East Ave, La Grange, IL 60525-6814 | 2008-03-11 |
| 1619581097 | Stacey Michelle Brothers | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2020-09-03 |
| 1942861117 | Kerry Dianne Minderman | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-06-27 |
| 1497315782 | Shandela Hope Brewer | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-06-18 |
| 1467917302 | Nancy C Downs | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2019-02-05 |
| 1043789217 | Emily Janelle Pile | Developmental Therapist | 4603 Timberwalk Ct, La Grange, KY 40031-6746 | 2018-11-17 |
| Find all providers in LA GRANGE | ||||
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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.