MS. LIL SUSANA BASULTO (NPI# 1174181085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174181085 |
| Entity Type | Individual |
| Full Name | MS. LIL SUSANA BASULTO |
| Practice Address |
9110 Sw 137th Ave Apt 208 Miami FL 33186-1414 |
| Practice Telephone | 7865101774 |
| Mailing Telephone | 7865101774 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| 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 |
9110 SW 137TH AVE APT 208 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| 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 |
|---|---|---|---|---|
| 1063047918 | Tia Brown Morgan | Developmental Therapist | 12035 Sw 218th St, Miami, FL 33170-2834 | 2020-03-10 |
| 1104450576 | Samantha Hernandez | Developmental Therapist | 8847 Sw 12th St, Miami, FL 33174-3301 | 2020-02-25 |
| 1033759436 | Yudima Fernandez Heredia | Developmental Therapist | 14909 Sw 80th St Apt 205, Miami, FL 33193-3149 | 2020-01-14 |
| 1982241543 | Susana Altagracia Sanchez | Developmental Therapist | 9440 Fontainebleau Blvd Apt 417, Miami, FL 33172-5559 | 2019-12-03 |
| 1699320085 | Nubis M Perks | Developmental Therapist | 16102 Sw 103rd Ct, Miami, FL 33157-3146 | 2019-08-02 |
| 1003395971 | Neisa Fernandez Perez | Developmental Therapist | 14750 Sw 26th St Ste 209, Miami, FL 33185-5937 | 2018-08-10 |
| 1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
| 1467965137 | Taniuska Alberti Martinez | Developmental Therapist | 1235 Sw 24th Ave, Miami, FL 33135-4823 | 2017-11-15 |
| 1174032031 | Ismery D Morales Martinez | Developmental Therapist | 6200 W Flagler St, Miami, FL 33144-3068 | 2017-09-22 |
| 1205358413 | Lolita Stewart-white | Developmental Therapist | 11040 Sw 179th St, Miami, FL 33157-5023 | 2017-07-10 |
| Find all providers in MIAMI | ||||
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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.