TYJEAN MOORE


Address: 5205 Autumn Woods Dr, Greensboro, NC 27407-5066
Phone: 3366630168

TYJEAN MOORE (NPI# 1265061303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265061303
Entity Type Individual
Full Name TYJEAN MOORE
Practice Address 5205 Autumn Woods Dr
Greensboro
NC 27407-5066
Practice Telephone 3366630168
Enumeration Date 2020-04-01
Last Update Date 2020-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171W00000X Contractor Other Service Providers
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 5205 AUTUMN WOODS DR
City GREENSBORO
State NC
Zip Code 27407-5066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598381378 Embracing Therapeutic Care LLC. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5205 Autumn Woods Dr, Greensboro, NC 27407-5066 2020-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093326019 Marie Louise Phillips Behavior Technician 111 Domona Dr, Unit 6, Greensboro, NC 27407 2020-08-13
1306472709 Blondine Yvonne Wynn Home Health Aide 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 2020-03-17
1104452994 Monyetta Marie Howell Counselor 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 2020-03-12
1215456769 Tiffany R. Wright Massage Therapist 317 H South Westgate Drive, Greensboro, NC 27407 2017-09-15
1992225676 Kendra Edwards Social Worker 1 Centerview Dr Ste 103, Greensboro, NC 27407 2017-06-22
1477902674 Triad Integrative Wellness Center Inc Acupuncturist 315j South Westgate Dr, Greensboro, NC 27407 2016-06-08
1083098354 Kathryn Theall Counselor 1901 Adams Farm Pkwy, Greensboro, NC 27407 2015-07-16
1962886333 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 5710-w West Gate City Blvd, Greensboro, NC 27407 2015-07-16
1619356177 Lindsey King Registered Nurse 302 Pomona Drive, Greensboro, NC 27407 2015-05-29
1255737664 M.a.p.p.s. Clinic/Center 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 2014-11-12
Find all providers in zip 27407

Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770193153 Kattiesha Plum Developmental Therapist 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 2020-07-31
1255940581 Toria Davenport Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-07-22
1144796509 Dawn Thornhill Developmental Therapist 3107 Bannock Ln, Greensboro, NC 27410-8290 2018-10-23
1760852131 Olivia Odum Developmental Therapist 1567 New Garden Rd Apt 3a, Greensboro, NC 27410 2015-09-29
1780703348 Nancy Eades Developmental Therapist 3511 W Market St Ste B, Greensboro, NC 27403-4442 2007-03-28
1093312563 Neil Douglas Michaud Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-10-07
1437766052 Nakel Mayes-sanford Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-09-28
1699382317 Kimberly Eggers Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-09-27
1043829302 Derek Alan Wilson Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-07-23
1548617640 Kimberly Moles Developmental Therapist 3201 W Market St, Greensboro, NC 27403-1455 2016-05-18
Find all providers in GREENSBORO

Competitor

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City GREENSBORO
Zip Code 27407

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Dataset Information

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.

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