MS. COURTNEY DYAN KIRK (NPI# 1295063881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295063881 |
| Entity Type | Individual |
| Full Name | MS. COURTNEY DYAN KIRK |
| Practice Address |
4815 N Martin Luther King Jr Dr Apt 112 Decatur IL 62526-6127 |
| Mailing Address |
4815 N Martin Luther King Jr. Dr. Apt 112 Decatur IL 62526 |
| Practice Telephone | 2174121422 |
| Mailing Telephone | 2174121422 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255822086 | Courtney Marie Kirk | Speech-Language Pathologist | 1920 Slabtown Rd, Lima, OH 45801-3309 | 2018-05-29 |
| Street Address |
4815 N MARTIN LUTHER KING JR DR APT 112 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-6127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1124642111 | Sharon M Renfro | Developmental Therapist | 118 Greenridge Dr, Decatur, IL 62526-1426 | 2020-06-04 |
| 1912553538 | Taylor Patterson | Developmental Therapist | 2237 Appletree Ln, Decatur, IL 62521-3901 | 2019-08-11 |
| 1457903056 | Jenna Mccrady | Developmental Therapist | 4524 Havenwood Dr, Decatur, IL 62526-1125 | 2019-07-12 |
| 1861057739 | Amy Lizette Porter | Developmental Therapist | 1070 W Olive St, Decatur, IL 62526-3761 | 2019-05-07 |
| 1528545274 | Julia Catherine Moroney | Developmental Therapist | 3279 Fields Ct, Decatur, IL 62521-4814 | 2018-07-25 |
| 1720471998 | Shawn Sanders | Developmental Therapist | 3858 N Camelot Dr, Apt 3b, Decatur, IL 62526-2057 | 2015-03-12 |
| 1073905030 | Elizabeth Ann Harding | Developmental Therapist | 1045 E Harrison Ave, Decatur, IL 62526-4872 | 2015-02-28 |
| 1255747820 | Kristy Young | Developmental Therapist | 340 Olympic Ct, Apt 17, Decatur, IL 62526-1811 | 2014-07-03 |
| 1699116913 | Carrie Casch | Developmental Therapist | 2266 S Franzy Dr, Decatur, IL 62521-5577 | 2013-07-15 |
| 1093990087 | Barbara Anne Stobaugh | Developmental Therapist | 1927 N Graceland Ave, Decatur, IL 62526-4039 | 2008-01-08 |
| Find all providers in DECATUR | ||||
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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.