MRS. TIPHANI BROOKE GREGORY (NPI# 1407188907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407188907 |
| Entity Type | Individual |
| Full Name | MRS. TIPHANI BROOKE GREGORY |
| Credential | DT |
| Practice Address |
330 S Florence Rd Pittsfield IL 62363-3132 |
| Practice Telephone | 2173706314 |
| Practice Fax Number | 2177234046 |
| Mailing Telephone | 2173706314 |
| Mailing Fax Number | 2177234046 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
330 S FLORENCE RD |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| 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 |
|---|---|---|---|---|
| 1356759468 | Kristen Myers | Developmental Therapist | 27 Balance Rock Rd, Pittsfield, MA 01201-1056 | 2014-08-01 |
| 1134465016 | Adrienne K. Hamilton | Developmental Therapist | 20 Albro St, Pittsfield, MA 01201-4902 | 2012-12-20 |
| 1447513981 | Diana Rose Sullivan | Developmental Therapist | 283 Pomeroy Ave, Pittsfield, MA 01201-6416 | 2012-06-20 |
| 1770857393 | Judith M Dorr | Developmental Therapist | 56 Dorchester Ave, Pittsfield, MA 01201-5627 | 2012-02-29 |
| 1780963041 | Nanciann Hobson Ryer | Developmental Therapist | 24 Elmview Ter, Pittsfield, MA 01201-6514 | 2011-08-04 |
| 1568775575 | Kathleen Wilson | Developmental Therapist | 40 Plunkett St, Pittsfield, MA 01201-4339 | 2010-07-19 |
| 1376723817 | Patricia Hall Pellegrino | Developmental Therapist | 388 Columbus Avenue Ext, Pittsfield, MA 01201-4903 | 2007-11-13 |
| 1841898806 | Shana Kate Sullivan | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2020-10-13 |
| 1497393342 | Celina Marie Kegresse | Developmental Therapist | 317 Lenox Ave, Pittsfield, MA 01201-2638 | 2019-12-11 |
| 1578104873 | Susan Strickler Garrison | Developmental Therapist | 388 Columbus Ave, Pittsfield, MA 01201-4903 | 2019-10-08 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
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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.