PHILIP ELSAS (NPI# 1275747016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275747016 |
| Entity Type | Individual |
| Full Name | PHILIP ELSAS |
| Credential | ITDS CERTIFIED |
| Practice Address |
4101-1 College St Jacksonville FL 32205-5318 |
| Practice Telephone | 9043870370 |
| Practice Fax Number | 9043870156 |
| Mailing Telephone | 9043870370 |
| Mailing Fax Number | 9043870156 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| 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 |
4101-1 COLLEGE ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32205-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518587 | Dlc Nurse & Learn, Inc. | Day Training, Developmentally Disabled Services | 4101-1 College St, Jacksonville, FL 32205-5318 | 2006-04-20 |
| 1982892709 | Dlc Nurse & Learn, Inc. | Preferred Provider Organization | 4101-1 College St, Jacksonville, FL 32205-5318 | 2007-10-05 |
| 1629282447 | Amelia Buggle | Developmental Therapist | 4101-1 College St, Jacksonville, FL 32205-5318 | 2007-05-10 |
| 1326005133 | Digna Soriano Monto | Physical Therapist | 4101-1 College St, Jacksonville, FL 32205-5318 | 2006-04-26 |
| 1801852330 | Carol T. Reaves | Occupational Therapist | 4101-1 College St, Jacksonville, FL 32205-5318 | 2006-04-24 |
| 1487610176 | John Marcus Pyatt | Physical Therapist | 4101-1 College St, Jacksonville, FL 32205-5318 | 2006-04-22 |
| 1396701918 | Yelitza Rivera | Speech-Language Pathologist | 4101-1 College St, Jacksonville, FL 32205-5318 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
| 1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
| 1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
| 1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
| 1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
| 1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
| 1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
| 1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
| 1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
| 1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
| Find all providers in zip 32205 | ||||
| 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 |
|---|---|---|---|---|
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1710543897 | Angela Marie Simons | Developmental Therapist | 14030 Ivylgail Dr N, Jacksonville, FL 32225-2024 | 2019-05-14 |
| 1861954950 | Darnise Lashelle Price | Developmental Therapist | 18 Woodbriar Dr, Jacksonville, AR 72076-5365 | 2019-04-05 |
| 1255804977 | Christina Maton | Developmental Therapist | 11041 Ridge Point Dr, Jacksonville, FL 32257-3717 | 2019-01-04 |
| 1811415847 | Kimberly Armstrong | Developmental Therapist | 1206 Turtle Creek Dr. S, Jacksonville, FL 32218 | 2017-08-30 |
| 1407395205 | Mary Christina Bush | Developmental Therapist | 1274 Surfway Ct, Jacksonville, FL 32233-2241 | 2017-02-14 |
| 1922554575 | Lavoris Andrew Mobley | Developmental Therapist | 9000 Cypress Green Drive, Jacksonville, FL 32256 | 2016-09-01 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1134676711 | Katelyn Luksha | Developmental Therapist | 6867 Southpoiont Drive North, Jacksonville, FL 32216 | 2016-09-01 |
| 1780057794 | Nicole Terry | Developmental Therapist | 3610 N Ride Dr, Jacksonville, FL 32223-7489 | 2015-11-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32205 |
Please comment or provide details below to improve the information on PHILIP ELSAS.
| 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.