CORNEILIA L ERVINS (NPI# 1285194712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285194712 |
| Entity Type | Individual |
| Full Name | CORNEILIA L ERVINS |
| Practice Address |
5225 Linden Rd Apt 7207 Rockford IL 61109-6419 |
| Practice Telephone | 8155017711 |
| Mailing Telephone | 8155017711 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-04-05 |
| 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 |
| Street Address |
5225 LINDEN RD APT 7207 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| 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 |
|---|---|---|---|---|
| 1407417397 | Christine Criel | Developmental Therapist | 422 Vale Ave N, Rockford, IL 61107-4652 | 2019-06-22 |
| 1417461906 | Kaetlin Lindsey Romberg | Developmental Therapist | 6820 Madrone Dr, Rockford, MI 49341-9578 | 2017-11-21 |
| 1194172932 | Emily Dyson | Developmental Therapist | 3425 Oak Grove Ave, Rockford, IL 61108-1856 | 2016-05-23 |
| 1326492653 | Dawn Davis | Developmental Therapist | 2650 Springdale Dr, Rockford, IL 61114-6452 | 2016-04-23 |
| 1699132043 | Jennifer Anders | Developmental Therapist | 2140 Eggleston Rd, Rockford, IL 61108-7908 | 2016-01-15 |
| 1699193417 | Jennifer Jean Rossol | Developmental Therapist | 4019 Latham St, Rockford, IL 61103-1628 | 2014-03-29 |
| 1821349861 | Colette Marie Rossi-luebke | Developmental Therapist | 4304 Tallwood Ave, Rockford, IL 61114-6053 | 2012-10-01 |
| 1972734648 | Nancy A Hunt | Developmental Therapist | 1131 Griggs Rd, Rockford, IL 61108-4582 | 2009-07-29 |
| 1134359086 | Mary Elizabeth Hunter | Developmental Therapist | 6475 Weaver Rd, Rockford, IL 61114-8109 | 2009-07-24 |
| 1760629737 | Anne G. Herkert | Developmental Therapist | 802 Highview Ave, Rockford, IL 61107-3316 | 2009-01-13 |
| Find all providers in ROCKFORD | ||||
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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.