MS. SHELLEY HENLEY (NPI# 1255658761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255658761 |
| Entity Type | Individual |
| Full Name | MS. SHELLEY HENLEY |
| Credential | ITDS |
| Practice Address |
681 Jerrells Ave Fort Walton Beach FL 32547-3187 |
| Practice Telephone | 8507970550 |
| Mailing Telephone | 8507970550 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PENDING | 05 |
| Street Address |
681 JERRELLS AVE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| 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 |
|---|---|---|---|---|
| 1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
| 1710535844 | Megan E. Ostrander | Developmental Therapist | 1500 Lewis Turner Blvd Apt P204, Fort Walton Beach, FL 32547-7004 | 2019-09-02 |
| 1700392115 | Monique O'brien | Developmental Therapist | 624 Kensington Ct Ne, Fort Walton Beach, FL 32547-1842 | 2017-12-20 |
| 1437220027 | Delisha Woodson Leon | Developmental Therapist | 520 Kanuha Dr, Fort Walton Beach, FL 32547-5017 | 2006-11-13 |
| 1649763616 | Jennifer Meshell Dahlberg | Developmental Therapist | 123 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2018-06-13 |
| 1639496474 | Dorthea Carper | Developmental Therapist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-05-03 |
| 1235460536 | Kimberly Hamm | Developmental Therapist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-01-26 |
| 1396076931 | Elizabeth Stutz | Developmental Therapist | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-01-21 |
| 1649501578 | Erin Pendleton | Developmental Therapist | 2104 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-01-15 |
| 1629308077 | Sheraefien Finch | Developmental Therapist | 2104 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2010-01-07 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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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.