CRISTAL S MOORE (NPI# 1326521394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326521394 |
| Entity Type | Individual |
| Full Name | CRISTAL S MOORE |
| Practice Address |
514 W 5th St Rochester IN 46975-1224 |
| Practice Telephone | 5742233819 |
| Mailing Telephone | 5742233819 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| 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 |
514 W 5TH ST |
| City | ROCHESTER |
| State | IN |
| Zip Code | 46975-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789038 | Caitlin Barts-nunez | Dentist | 1360 E. 4th Street, Rochester, IN 46975 | 2016-06-02 |
| 1093117061 | Brittainey Neese | Pharmacist | 2240 E. Peace Tree Village, Rochester, IN 46975 | 2014-09-22 |
| 1437415460 | Benjamin O Adebayo | Obstetrics & Gynecology | 1400 East 9th S, Rochester, IN 46975 | 2012-04-04 |
| 1679779367 | Hope Hospice, Inc. | Home Health | 2316 E State Rd 14, Rochester, IN 46975 | 2007-06-21 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1134297930 | Timothy Ravencroft | Dentist | 115 E 7th Street, Rochester, IN 46975 | 2006-12-01 |
| 1720172349 | Patricia J Heiden | Social Worker | 618 E. Ninth St., Rochester, IN 46975 | 2006-10-03 |
| 1760583355 | Julius Salazar Sitjar | Internal Medicine | 2671 Ft Wayne Rd, Rochester, IN 46975 | 2006-09-26 |
| 1922016260 | Hubert Ray Hazen | Dentist | 1329 Main Street, Rochester, IN 46975 | 2006-08-03 |
| 1366401812 | Cynthia A Laycock | Optometrist | 2260 Main St., Rochester, IN 46975 | 2006-03-22 |
| Find all providers in zip 46975 | ||||
| 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 |
|---|---|---|---|---|
| 1902371156 | Tracey Schaeffner | Developmental Therapist | 5428 N 350 E, Rochester, IN 46975-7308 | 2018-10-03 |
| 1740764018 | Helene Dillinger | Developmental Therapist | 1113 Jackson Blvd, Rochester, IN 46975-1927 | 2018-09-21 |
| 1972822252 | Nicole Terese Piper | Developmental Therapist | 111 Cumberland Dr, Rochester, IL 62563-9238 | 2010-05-25 |
| 1891022364 | Tanya Kaye Mckee | Developmental Therapist | 1716 Ewing Rd, Rochester, IN 46975-8948 | 2009-11-04 |
| 1760656813 | Miranda Marie Morris | Developmental Therapist | 10 Arthur Dr, Rochester, IL 62563-9209 | 2008-04-19 |
| 1205448909 | Olivia Helen Krick | Developmental Therapist | 1882 Winton Rd S, Rochester, NY 14618-3950 | 2020-08-24 |
| 1760011621 | Tiffanie Pierce | Developmental Therapist | 1882 Winton Rd S Ste 8, Rochester, NY 14618-3950 | 2020-04-03 |
| 1245878131 | Gabriella Rozowsky | Developmental Therapist | 1882 Winton Rd S Ste 8, Rochester, NY 14618-3950 | 2019-12-11 |
| 1245874593 | Kaylee Elizabeth Cote | Developmental Therapist | 1882 Winton Rd S Ste 8, Rochester, NY 14618-3950 | 2019-10-30 |
| 1063062255 | Abigail Hamel | Developmental Therapist | 1882 Winton Rd S Ste 8, Rochester, NY 14618-3950 | 2019-09-19 |
| Find all providers in ROCHESTER | ||||
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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.