PAGE STACEY WORRELLS (NPI# 1114298304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114298304 |
| Entity Type | Individual |
| Full Name | PAGE STACEY WORRELLS |
| Practice Address |
2565 Judge Fran Jamieson Way Viera FL 32940-5998 |
| Practice Telephone | 3216343688 |
| Practice Fax Number | 3215040955 |
| Mailing Telephone | 3216343688 |
| Mailing Fax Number | 3215040955 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0004433600 | 05 |
| Street Address |
2565 JUDGE FRAN JAMIESON WAY |
| City | VIERA |
| State | FL |
| Zip Code | 32940-5998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823596 | Alyssa Jimenez | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2020-05-18 |
| 1134740632 | Kerrin Newberry | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2020-05-06 |
| 1528688124 | Aurora Josefina Rocha | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2020-04-23 |
| 1184244865 | Carol Delano Collazo | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2020-04-22 |
| 1841829157 | Heather Pound Aboulhosn | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2020-04-07 |
| 1982246757 | Geri Danielle Smith | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2019-10-14 |
| 1710529565 | Sarah Leora Walls | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2019-10-14 |
| 1942841226 | Terry Marie Chartrand | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2019-10-08 |
| 1841831112 | Silvia I Hierro | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2019-10-08 |
| 1730720038 | Angela Riane Tims | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
|---|---|---|---|---|
| 1942823596 | Alyssa Jimenez | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2020-05-18 |
| 1841829157 | Heather Pound Aboulhosn | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2020-04-07 |
| 1952967416 | Stephanie Claire Clemmer | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2019-05-10 |
| 1891245098 | Carrie Elizabeth Ferguson | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2016-10-12 |
| 1679973010 | Pamela Wise | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2014-09-03 |
| 1740526433 | Karen Jean Minette | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2012-12-27 |
| 1639477987 | Rosalyn Wolfe | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2011-03-10 |
| 1972824399 | Thora Turner | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2010-06-21 |
| 1831320688 | Deana M Pierce | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2009-07-28 |
| 1932341245 | Sue C Westby | Developmental Therapist | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2009-04-01 |
| Find all providers in VIERA | ||||
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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.