STEPHANIE JACKSON


Address: 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564
Phone: 8888809270

STEPHANIE JACKSON (NPI# 1295176030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295176030
Entity Type Individual
Full Name STEPHANIE JACKSON
Practice Address 2708 Ne 14th St Apt 5
Pompano Beach
FL 33062-3564
Mailing Address 1602 Jackson St
Lake Charles
LA 70601-2462
Practice Telephone 8888809270
Mailing Telephone 3374885713
Mailing Fax Number 3375640213
Enumeration Date 2013-07-09
Last Update Date 2013-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers STEPHANIE JACKSON

NPI Name Taxonomy Address Enumeration
1003459934 Stephanie Denise Jackson Respite Care 22321 W Morning Glory St, Buckeye, AZ 85326-7181 2019-10-23
1821578006 Stephanie M Jackson Nurse Practitioner 1350 Market Street, 1st Floor, Lynnfield, MA 01940 2018-08-17
1427538016 Stephanie Renee Jackson Occupational Therapist 626 Colosseo Way, San Antonio, TX 78253-5687 2018-08-14
1376955294 Stephanie Jackson Behavioral Analyst 6131 Alpine Tree Ave, Las Vegas, NV 89139-6854 2014-05-27
1548601511 Stephanie Jackson Licensed Practical Nurse 39 W. Yaphank Rd., Medford, NY 11763 2013-07-08
1134461361 Stephanie K Jackson Specialist 1513 Sleepy Hollow Rd Unit A, Wenatchee, WA 98801-9132 2013-03-26
1073890828 Stephanie Jackson Massage Therapist 3172 S Gilpin St, Englewood, CO 80113-3023 2011-11-08
1013177872 Stephanie Colleen Jackson Psychiatry & Neurology 1950 Hope Valley Dr, Reno, NV 89521-3140 2008-06-13
1255512984 Stephanie Brazeal Jackson Nurse Practitioner 711 Trestle Rd, Locust Grove, GA 30248-3465 2007-11-21
1992904155 Stephanie Lynn Jackson Dentist 13521 Steelecroft Pkwy, Suite 100, Charlotte, NC 28278-7545 2007-07-17

Office Location

Street Address 2708 NE 14TH ST APT 5
City POMPANO BEACH
State FL
Zip Code 33062-3564

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992969000 Jessica Leano Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2008-07-17
1841626280 Brenda Leigh Lopez Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-09-17
1588090047 Christian F Tovar Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-09-16
1902231996 Michelle Walker Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-09-09
1215361456 Juanita Davila Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-08-23
1902244544 Elizabeth Pini Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-06-05
1023454501 Lavonia Nichole Brown Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-05-10
1538504170 Erin Knecht Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-05-09
1902241094 Daniela Hagreaves Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-05-03
1255775557 Catherine Myers Developmental Therapist 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 2013-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588265961 Publix Super Markets, Inc Durable Medical Equipment & Medical Supplies 555 Channelside Dr, Tampa, FL 33062 2020-11-03
1396351821 Brittney Eluett Social Worker 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 2020-09-21
1124537634 Aaron Gabriel Grossman General Practice 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 2017-09-27
1790215309 Daylis Perez-borroto Rodriguez Dentist 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 2017-06-15
1235686783 Ican Benefit Group Supports Brokerage 2251 North Federal Highway, Pompano Beach, FL 33062 2016-09-01
1336503689 Adriana Diaz Backer Dentist 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 2016-04-12
1255723367 Pierre G Lazore Acupuncturist 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 2015-02-26
1467870386 Visionworks, Inc Eyewear Supplier (Equipment, not the service) 2471 North Federal Highway, Pompano Beach, FL 33062 2014-03-29
1598192460 Banyan Treatment and Recovery, LLC Clinic/Center 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 2013-10-08
1578905840 Edwin C Delz Dentist 2323 Ne 26 Ave, Pompano Beach, FL 33062 2013-07-26
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922428341 Tammie King Developmental Therapist 160 Sw 6th Ct, Pompano Beach, FL 33060-8389 2014-04-24
1598191223 Cameisha Lashon Fox Developmental Therapist 4301 N. Federal Hwy, Suite 2 South, Pompano Beach, FLORIDA 33064 2013-09-26
1255767612 Cathiana Raquel Torres Developmental Therapist 4301 N Federal Highway, Suite 2 South, Pompano Beach, FL 33064-2886 2013-09-17
1669805271 Damond Jenkins Developmental Therapist 2708 Ne 14th Street Cswy, Suite 5, Pompano Beach, FL 33062-3565 2013-08-19
1588096481 Katherine M Clifton Developmental Therapist North Federal Hwy, Suite 2 South, Pompano Beach, FL 33064 2013-08-01
1396187977 Athena Stavroula Campos Developmental Therapist 4301 N Federal Highway, Butterfly Effects LLC, Suite 2 South, Pompano Beach, FL 33064 2013-07-23
1679914998 Rachel Celeste Roman Developmental Therapist 4301 N Federal Highway Suite 2 South, Butterfly Effects LLC, Pompano Beach, FL 33064 2013-07-15
1952742538 Brett Brown Developmental Therapist 2708 Ne 14th St Apt 5f, Pompano Beach, FL 33062-3564 2013-07-11
1972942381 Amber L. Harrigfeld Developmental Therapist Butterfly Effects LLC, 4301 N Federal Highway, Suite 2 South, Pompano Beach, FL 33064 2013-06-19
1861830663 Heather Patricia Gipp Developmental Therapist 43 N Federal Hwy Ste 2, Pompano Beach, FL 33062-4304 2013-06-13
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Competitor

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City POMPANO BEACH
Zip Code 33062

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Dataset Information

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.

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