SUSAN DIANE LEDER (NPI# 1134603368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134603368 |
| Entity Type | Individual |
| Full Name | SUSAN DIANE LEDER |
| Practice Address |
10715 Hueseman Rd Aurora IN 47001-2253 |
| Practice Telephone | 8125775734 |
| Mailing Telephone | 8125775734 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10715 HUESEMAN RD |
| City | AURORA |
| State | IN |
| Zip Code | 47001-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780792903 | Aleah Pendergraff Gibson | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2006-08-28 |
| 1376563965 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 512 Green Blvd, Aurora, IN 47001 | 2006-07-19 |
| 1609829480 | Advanced Vision Care Center, LLC | Optometrist | 100 Sycamore Estates Dr, Aurora, IN 47001 | 2006-05-19 |
| 1952839961 | Kimberly Myers | Nurse Practitioner | 204 Bridgeway St, Aurora, IN 47001 | 2017-06-03 |
| 1972890481 | Mary Anna Jansen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2011-07-05 |
| 1518978899 | Aurora Emergency Rescue, Inc. | Ambulance | 320 3rd St, Aurora, IN 47001 | 2006-08-11 |
| 1871969311 | Roberta Hall | Taxi | 136 Franklin St, Aurora, IN 47001-1018 | 2015-08-19 |
| 1598184111 | Debra Ann Dicarlo | Speech-Language Pathologist | 102 Conwell St, Aurora, IN 47001-1110 | 2014-04-10 |
| 1609994326 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 511 W Conwell St, Aurora, IN 47001-1137 | 2007-03-27 |
| 1982723300 | Voca In, LLC | Intermediate Care Facility, Mentally Retarded | 207 Hanover Ave, Aurora, IN 47001-1151 | 2007-03-28 |
| Find all providers in zip 47001 | ||||
| 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 |
|---|---|---|---|---|
| 1770101503 | Leticia R Arceo | Developmental Therapist | 2112 W Galena Blvd, Aurora, IL 60506-3255 | 2020-07-08 |
| 1235759028 | Mildred Aranda | Developmental Therapist | 2800 Pontiac Ct # 1286, Aurora, IL 60502-9099 | 2020-04-21 |
| 1043863566 | Amelia R Simpson | Developmental Therapist | 2851 Lindgren Ct, Aurora, IL 60503-6257 | 2019-07-23 |
| 1386113884 | Meghan E Harazin | Developmental Therapist | 2721 Cavalcade Ct, Aurora, IL 60503-4616 | 2018-11-14 |
| 1114493509 | Maya Foster | Developmental Therapist | 1390 Andover Dr, Aurora, IL 60504-5984 | 2018-10-23 |
| 1245729458 | Lynn Theresa Tigges | Developmental Therapist | 11 Canterbury Rd, Aurora, IL 60506-4211 | 2018-05-02 |
| 1548778616 | Sharon Merrell | Developmental Therapist | 319 Newport Ln, Aurora, IL 60504-7291 | 2018-01-11 |
| 1063947851 | Lela Jean Frantzen | Developmental Therapist | 949 Wellington Cir, Aurora, IL 60506-6904 | 2017-04-28 |
| 1609307172 | Jennifer Y Perkins | Developmental Therapist | 1962 Tall Oaks Dr Apt 3b, Aurora, IL 60505-1461 | 2017-03-25 |
| 1386192888 | Christianna Gorman | Developmental Therapist | 1848 Fescue Dr, Aurora, IL 60504-4323 | 2016-09-14 |
| Find all providers in AURORA | ||||
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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.