MRS. MARY KATHERINE KENNEDY (NPI# 1336418169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336418169 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATHERINE KENNEDY |
| Credential | MA |
| Practice Address |
10727 Burr Oak Way Burke VA 22015-2414 |
| Practice Telephone | 7034259126 |
| Mailing Telephone | 7034259126 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| 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 |
|---|---|---|---|---|
| 1568635738 | Mary A Kennedy | Speech-Language Pathologist | 1801 Alfresco Pl, Louisville, KY 40205-1807 | 2008-04-09 |
| 1518095660 | Mary S. Kennedy | Social Worker | 16 Fayette St, Cambridge, MA 02139-1112 | 2007-03-01 |
| 1053455568 | Mary Kathleen Kennedy | Speech-Language Pathologist | 1613 Ginger Dr, Hideaway, TX 75771-5311 | 2007-02-16 |
| 1578656716 | Mary Kennedy | Nurse Practitioner | 105 E Hack St, Cullom, IL 60929 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| 1992750517 | Mary Kay Kennedy | Social Worker | 363 South Harlan Street, Suite 200, Denver, CO 80226-3552 | 2006-05-23 |
| 1972563757 | Mary M Kennedy | Social Worker | 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104-3250 | 2006-03-24 |
| 1861479636 | Mary Theresa Kennedy | Psychologist | 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 | 2005-12-22 |
| 1518471226 | Mary Kennedy | Counselor | 1010 Remington Plz, Raymore, MO 64083-8640 | 2017-11-17 |
| 1871851196 | Mary Kennedy | Day Training/Habilitation Specialist | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-24 |
| Street Address |
10727 BURR OAK WAY |
| City | BURKE |
| State | VA |
| Zip Code | 22015-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876182 | Fereshteh Khodaei Shahrokhi | Social Worker | Lyngate Ct, Suite 200, Burke, VA 22015 | 2020-03-12 |
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1407228463 | Burke Dental, Pllc | Dentist | 9006 Fern Park Dr., Suite A, Burke, VA 22015 | 2015-10-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| Find all providers in zip 22015 | ||||
| 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 |
|---|---|---|---|---|
| 1073851721 | Silla Ha | Developmental Therapist | 9606 Glenarm Ct, Burke, VA 22015-1721 | 2013-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388612 | Lopez & Associates Therapy Group, PC | Developmental Therapist | 1602 Belle View Blvd., Suite 735, Alexandria, VA 22307 | 2017-07-10 |
| 1861843211 | Samantha Watson | Developmental Therapist | 4280 Cotswolds Hill Ln, Fairfax, VA 22030-4418 | 2016-06-27 |
| 1457701047 | Cynthia Martinez | Developmental Therapist | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2016-06-15 |
| 1821459983 | Diana Barker | Developmental Therapist | 5 Commercial Pl, Newport News, VA 23606-1339 | 2016-03-16 |
| 1760849954 | Nicole Johnson | Developmental Therapist | 58 Garden Dr, Alexandria, VA 22304-4928 | 2016-01-20 |
| 1891179859 | Laura Fitzpatrick | Developmental Therapist | 8059 Stillbrooke Rd, Manassas, VA 20112-4602 | 2015-07-18 |
| 1669859039 | Emily Ann Mcgrath | Developmental Therapist | 8750 Bradley Forge Dr, Manassas, VA 20112-4527 | 2015-05-05 |
| 1295131985 | Rachel Diane Douglass | Developmental Therapist | 40 Egret Ct, Stafford, VA 22554-7776 | 2014-11-07 |
| 1114321577 | Tamira Mckinley | Developmental Therapist | 225 A View Ave, Unit 107, Norfolk, VA 23503 | 2014-10-14 |
| 1851792071 | Stephanie Quirk | Developmental Therapist | 12041 Odion Ln, Woodbridge, VA 22192-5342 | 2014-09-07 |
| Find all providers with the same taxonomy | ||||
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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.