TYJEAN MOORE (NPI# 1265061303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
5205 AUTUMN WOODS DR |
City | GREENSBORO |
State | NC |
Zip Code | 27407-5066 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | GREENSBORO |
Zip Code | 27407 |
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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.