DONNA MARIA MATTICKS (NPI# 1134321581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134321581 |
| Entity Type | Individual |
| Full Name | DONNA MARIA MATTICKS |
| Credential | RN |
| Practice Address |
6309 Wind Tree Rd Springfield IL 62712-3738 |
| Practice Telephone | 2178997524 |
| Practice Fax Number | 2175299514 |
| Mailing Telephone | 2178997524 |
| Mailing Fax Number | 2175299514 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 163WC1500X |
Registered Nurse Specialization: Community Health |
IL | Nursing Service Providers |
| Street Address |
6309 WIND TREE RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62712-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457392227 | Matticks Medcon LLC | Durable Medical Equipment & Medical Supplies | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2006-06-10 |
| 1265602452 | Roderick L Matticks | Family Medicine | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1548351703 | Sarah Megan Toland | Speech-Language Pathologist | 3700 Castle Hill Blvd, Springfield, IL 62712 | 2006-09-27 |
| 1558463760 | Beverly J Matthews | Psychologist | 3517 Carnoustie Dr, Springfield, IL 62712 | 2006-09-01 |
| 1164593018 | Mark Alan Rose | Dentist | 6301 Wind Tree Rd, Springfield, IL 62712-3738 | 2006-11-13 |
| 1134595531 | Karen Brown | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2015-08-19 |
| 1255834651 | Denise Kay Demoulin | Speech-Language Pathologist | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2018-03-12 |
| 1275089302 | Victoria Branda | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2016-08-29 |
| 1417174475 | Nikki Arends | Speech-Language Pathologist | 3804 Indian Grass Ln, Springfield, IL 62712-5810 | 2007-04-19 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1952576308 | Kimberly Drewes | Contractor | 3013 Summerwood Dr, Springfield, IL 62712-5862 | 2008-04-28 |
| Find all providers in zip 62712 | ||||
| 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 |
|---|---|---|---|---|
| 1841789344 | Felicia Ann Mcguinn | Developmental Therapist | 736 N Bruns Ln Apt B, Springfield, IL 62702-6668 | 2018-05-09 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1235559568 | Sarah Colburn | Developmental Therapist | 4927 Margaret Ave, Springfield, IL 62711-9239 | 2014-04-25 |
| 1790105757 | Barbara Fiedler | Developmental Therapist | 209 Bellerive Rd, Springfield, IL 62704-6205 | 2014-04-17 |
| 1396081584 | Louise Elizabeth Johnson | Developmental Therapist | 420 Yeoman Dr, Springfield, IL 62704-5240 | 2012-12-17 |
| 1568722015 | Rebecca Ann Dobbs | Developmental Therapist | 927 N 8th St, Springfield, IL 62702-3939 | 2012-05-17 |
| 1588922397 | Maria Christine Gallina | Developmental Therapist | 1012 W Fayette Ave Apt 2, Springfield, IL 62704-2491 | 2012-04-30 |
| 1851663272 | Barbara J Kelley | Developmental Therapist | 624 S Walnut St, Springfield, IL 62704-2518 | 2012-01-31 |
| 1376828483 | Reagan Egan | Developmental Therapist | 3314 Ashley Ln, Springfield, IL 62711-8257 | 2011-10-20 |
| 1487955506 | Fawn Ann Folkerts | Developmental Therapist | 4504 Blackwolf Rd, Springfield, IL 62711-7871 | 2010-11-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62712 |
Please comment or provide details below to improve the information on DONNA MARIA MATTICKS.
| 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.