MISS EMILY GRACE WAGNER (NPI# 1194206243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194206243 |
| Entity Type | Individual |
| Full Name | MISS EMILY GRACE WAGNER |
| Credential | DT-C |
| Practice Address |
1579 S Folsomville Rd Boonville IN 47601-9465 |
| Practice Telephone | 8129296523 |
| Mailing Telephone | 8129296523 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | NA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095830 | Emily Freilich Wagner | Dietitian, Registered | 5229 Annunciation St, New Orleans, LA 70115-1815 | 2017-07-10 |
| 1750759213 | Emily Wagner | Marriage & Family Therapist | 14947 Santa Lucia Dr, Charlotte, NC 28277-3382 | 2015-09-14 |
| 1821333485 | Emily Marie Wagner | Speech-Language Pathologist | 3823 N Southport Ave, #2, Chicago, IL 60613-5933 | 2012-12-06 |
| 1881843761 | Emily Fennell Wagner | Physical Therapist | 11301 Amherst Ave Ste 102, Silver Spring, MD 20902-4665 | 2008-09-16 |
| 1881206480 | Emily Marie Wagner | Pharmacist | 8681 W 135th St, Overland Park, KS 66223-1215 | 2020-08-17 |
| 1245875582 | Emily Wagner | Behavior Technician | 16970 Chandler Rd, East Lansing, MI 48823-6101 | 2019-11-11 |
| 1891255469 | Emily Wagner | Behavior Technician | 18685 Main St Ste 101-459, Huntington Beach, CA 92648-1723 | 2019-03-20 |
| 1811471709 | Emily E Wagner | Nurse Practitioner | 2626 Haymaker Rd Fl 2, Monroeville, PA 15146-3516 | 2018-09-18 |
| 1063901213 | Emily Wagner | Student in an Organized Health Care Education/Training Program | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2018-05-03 |
| 1700326162 | Emily Wagner | Social Worker | 2737 Youngstown Warren Rd Se, Warren, OH 44483 | 2017-03-06 |
| Street Address |
1579 S FOLSOMVILLE RD |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601-9465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770653735 | Annette Dimmett | Occupational Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2006-11-08 |
| 1275098113 | April Sherman | Developmental Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2019-02-05 |
| 1376007724 | Hannah Heidorn | Developmental Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2019-01-29 |
| 1144646936 | Kasey Mills | Speech-Language Pathologist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2014-03-17 |
| 1417223553 | Marsha L. Sternberg | Speech-Language Pathologist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2012-03-22 |
| 1235322025 | Southern Indiana Resource Solutions, Inc. | Day Training, Developmentally Disabled Services | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2007-08-24 |
| 1629293634 | Amy Christina Yunker | Physical Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2007-04-16 |
| 1487711107 | Southern Indiana Resource Solutions, Inc. | Clinic/Center | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
| 1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
| Find all providers in zip 47601 | ||||
| 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 |
|---|---|---|---|---|
| 1184236168 | Debbie Hargett | Developmental Therapist | 3911 Polk Rd, Boonville, IN 47601-8617 | 2020-08-20 |
| 1003471640 | Amanda Beth Fischer | Developmental Therapist | 1955 E Degonia Rd, Boonville, IN 47601-9748 | 2019-05-09 |
| 1275098113 | April Sherman | Developmental Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2019-02-05 |
| 1376007724 | Hannah Heidorn | Developmental Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918757 | Alayna Kaye Gray | Developmental Therapist | 3825 S Woods Edge Bnd, Bloomington, IN 47401-8436 | 2020-09-25 |
| 1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
| 1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
| 1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
| 1003431859 | Michele L Lloyd | Developmental Therapist | 975 S 650 E, Montgomery, IN 47558-5592 | 2020-06-08 |
| 1063032274 | Sharon Lynn Dalton | Developmental Therapist | 9957 S State Road 335, Pekin, IN 47165 | 2020-04-17 |
| 1457987612 | Sonya Overman | Developmental Therapist | 18241 County Road 40, Goshen, IN 46526-5447 | 2020-03-19 |
| 1144854449 | Karen M Moore | Developmental Therapist | 26191 Pocket Rd Apt 2, Batesville, IN 47006-9617 | 2020-02-25 |
| 1598397754 | Shannon Deann Belt | Developmental Therapist | 6084 N Daden Dr, Alexandria, IN 46001-9227 | 2020-02-06 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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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.