SARAH COLBURN (NPI# 1235559568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235559568 |
| Entity Type | Individual |
| Full Name | SARAH COLBURN |
| Other Name | SARAH NUDO |
| Practice Address |
4927 Margaret Ave Springfield IL 62711-9239 |
| Practice Telephone | 2172201995 |
| Mailing Telephone | 2172201995 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| 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 |
4927 MARGARET AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-9239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| 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 |
| 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 |
| 1487963286 | Lisa Shondell Davis | Developmental Therapist | 1319 W Lawrence Ave, Springfield, IL 62704-2315 | 2010-09-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
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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.