MARY LAUDERDALE (NPI# 1285160440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285160440 |
| Entity Type | Individual |
| Full Name | MARY LAUDERDALE |
| Credential | M.ED |
| Practice Address |
836 Sw 9th St Circle Boca Raton FL 33486 |
| Practice Telephone | 9044224408 |
| Mailing Telephone | 9044224408 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| 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 | 222Q00000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780044917 | Mary Lauderdale | Registered Nurse | 1313 Riverside Ave, Fort Collins, CO 80524-4352 | 2016-03-01 |
| Street Address |
836 SW 9TH ST CIRCLE |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| 1811253057 | Zahidul Huq | Anesthesiology | 851 Meadows Rd Ste 212, Boca Raton, FL 33486 | 2012-04-02 |
| Find all providers in zip 33486 | ||||
| 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 |
|---|---|---|---|---|
| 1942833033 | Krystal Marie Mcconnell | Developmental Therapist | 9841 Arbor Oaks Ln Apt 208, Boca Raton, FL 33428-2226 | 2020-02-17 |
| 1568001048 | Mercedes E Dietz | Developmental Therapist | 8329 Boca Rio Dr, Boca Raton, FL 33433-8304 | 2019-12-31 |
| 1932747508 | Caroline Hosken Araujo | Developmental Therapist | 6622 Villa Sonrisa Dr Apt 823, Boca Raton, FL 33433-4011 | 2019-12-14 |
| 1811531601 | Alyssa Kovacs | Developmental Therapist | 11762 Preservation Ln, Boca Raton, FL 33498-6233 | 2019-11-05 |
| 1851876395 | Pediatric Feeding Institute of South Florida | Developmental Therapist | 10604 Pebble Cove Ln, Boca Raton, FL 33498-6341 | 2018-10-01 |
| 1316437478 | Carolyn Landes | Developmental Therapist | 4695 Brandywine Dr, Boca Raton, FL 33487-2177 | 2018-05-15 |
| 1487142626 | Lianet Alfonso Armas | Developmental Therapist | 440 Nw 67th St Apt 208, Boca Raton, FL 33487-2938 | 2018-04-24 |
| 1366948275 | Rolando Martin Lam | Developmental Therapist | 5646 Wellesley Park Dr Apt 103, Boca Raton, FL 33433-6766 | 2018-04-01 |
| 1053813584 | Valeria Lorena Nunez | Developmental Therapist | 10147 Boca Entrada Blvd Apt 106, Boca Raton, FL 33428-5853 | 2018-02-28 |
| 1407368996 | Kaitlin M Schultz | Developmental Therapist | 4800 N Federal Hwy Ste 104, Boca Raton, FL 33431-5188 | 2017-10-25 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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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.