REAGAN EGAN


Address: 3314 Ashley Ln, Springfield, IL 62711-8257
Phone: 8157259992

REAGAN EGAN (NPI# 1376828483) 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) 1376828483
Entity Type Individual
Full Name REAGAN EGAN
Practice Address 3314 Ashley Ln
Springfield
IL 62711-8257
Practice Telephone 8157259992
Enumeration Date 2011-10-20
Last Update Date 2011-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 3314 ASHLEY LN
City SPRINGFIELD
State IL
Zip Code 62711-8257

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1578057220 Merissa Pryor Social Worker 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 2018-06-17
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1306249248 Schon Dental, LLC Dentist 2809 Mansion Road Suite D, Springfield, IL 62711 2014-10-07
1891105490 John Weiss Pharmacist 4200 Conestoga Drive, Springfield, IL 62711 2014-05-05
1720350689 Victor Harold Lary Family Medicine 3251 Spaulding Orchard Road, Springfield, IL 62711 2012-02-07
1902181795 Amanda Rose Davis Pharmacist 2500 Koke Mill Rd, Springfield, IL 62711 2011-10-12
1316233703 Karen Zerkle Dentist 2809 Mansion Rd, Suite D, Springfield, IL 62711 2011-06-23
1255520557 Link Chiropractic LLC Chiropractor 7012 Kingsmill Ct, Springfield, IL 62711 2007-10-23
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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
1841789344 Felicia Ann Mcguinn Developmental Therapist 736 N Bruns Ln Apt B, Springfield, IL 62702-6668 2018-05-09
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1235559568 Sarah Colburn Developmental Therapist 4927 Margaret Ave, Springfield, IL 62711-9239 2014-04-25
1790105757 Barbara Fiedler Developmental Therapist 209 Bellerive Rd, Springfield, IL 62704-6205 2014-04-17
1396081584 Louise Elizabeth Johnson Developmental Therapist 420 Yeoman Dr, Springfield, IL 62704-5240 2012-12-17
1568722015 Rebecca Ann Dobbs Developmental Therapist 927 N 8th St, Springfield, IL 62702-3939 2012-05-17
1588922397 Maria Christine Gallina Developmental Therapist 1012 W Fayette Ave Apt 2, Springfield, IL 62704-2491 2012-04-30
1851663272 Barbara J Kelley Developmental Therapist 624 S Walnut St, Springfield, IL 62704-2518 2012-01-31
1487955506 Fawn Ann Folkerts Developmental Therapist 4504 Blackwolf Rd, Springfield, IL 62711-7871 2010-11-04
1487963286 Lisa Shondell Davis Developmental Therapist 1319 W Lawrence Ave, Springfield, IL 62704-2315 2010-09-28
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Competitor

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City SPRINGFIELD
Zip Code 62711

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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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