MS. STACIE FRAZIER (NPI# 1336524834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336524834 |
| Entity Type | Individual |
| Full Name | MS. STACIE FRAZIER |
| Practice Address |
17300 Ozark Ave North Bldg. Tinley Park IL 60477-2693 |
| Practice Telephone | 8005977798 |
| Practice Fax Number | 7084298246 |
| Mailing Telephone | 8005977798 |
| Mailing Fax Number | 7084298246 |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17300 OZARK AVE NORTH BLDG. |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518416163 | Easter Seals Metropolitan Chicago | Case Management | 17300 Ozark Ave, Tinley Park, IL 60477-2693 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1003413568 | Amy Rohan | Developmental Therapist | 17545 Mulberry Ave, Tinley Park, IL 60487-6163 | 2020-10-07 |
| 1669951158 | Christine Marie Cavanaugh | Developmental Therapist | 8384 Dunmore Dr, Tinley Park, IL 60487 | 2018-08-07 |
| 1699216390 | Sarah Chaffee | Developmental Therapist | 8231 170th St, Tinley Park, IL 60477-5270 | 2017-03-14 |
| 1013460518 | Kaitlyn Scinto | Developmental Therapist | 17643 Lilac Ln, Tinley Park, IL 60477-6580 | 2016-08-01 |
| 1518346121 | Brittany Saulters | Developmental Therapist | 7526 162nd Pl, Tinley Park, IL 60477-1545 | 2015-05-28 |
| 1316343031 | Katrina Garnett | Developmental Therapist | 16718 Gentry Ln Apt 102, Tinley Park, IL 60477-1949 | 2014-11-06 |
| 1629317003 | Tara Williams | Developmental Therapist | 6600 180th St, Tinley Park, IL 60477-4143 | 2013-02-05 |
| 1821352923 | Lori Ann Daniels | Developmental Therapist | 19330 Woodfield Ct, Tinley Park, IL 60487-5549 | 2012-07-03 |
| 1386928745 | Alicia Dawn Penny | Developmental Therapist | 18499 Zurich Ln, Tinley Park, IL 60477-4405 | 2011-10-04 |
| 1508000415 | Sarah A Petrone Abete | Developmental Therapist | 16508 66th Ct, Tinley Park, IL 60477-1768 | 2009-04-22 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.