BROOKLYN MITCHELL (NPI# 1407404437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407404437 |
| Entity Type | Individual |
| Full Name | BROOKLYN MITCHELL |
| Practice Address |
1595 Lewis Rd Sumter SC 29154-7351 |
| Mailing Address |
1201 Central Ave Apt 433 Charlotte NC 28204-2593 |
| Practice Telephone | 7042890720 |
| Mailing Telephone | 3302097118 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1595 LEWIS RD |
| City | SUMTER |
| State | SC |
| Zip Code | 29154-7351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774346 | George Effah Osei | Family Medicine | Tandem Health, 1278 North Lafayette Drive, Sumter, SC 29154 | 2020-06-16 |
| 1245700855 | Good Samaritan Way | Home Health | 3340 Laurderdale Lane, Sumter, SC 29154 | 2018-11-27 |
| 1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
| 1528454253 | Royal Homecare & Healthcare Staffing, LLC | Nursing Care | 1199 Floyd Dr, Sumter, SC 29154 | 2015-04-09 |
| 1891947305 | Therapy 4 Kids LLC | Physical Therapist | 3265 Tamarah Way, Sumter, SC 29154 | 2008-10-15 |
| 1326254046 | Lisa Jeffus Smith | Physician Assistant | 1761 Pinewood Road, Agape Physicians Care, Sumter, SC 29154 | 2007-05-16 |
| 1588792998 | Dental Team of Sumter, P.a. | Dentist | 5635 Broad St Ext, Sumter, SC 29154 | 2007-02-28 |
| 1992893465 | Robert Capers Lee | Dentist | 5635 Broad Street Ext, Sumter, SC 29154 | 2006-10-10 |
| 1225363336 | Arian L. Ray Dds Pa | Dentist | 625 Constitution Drive, Sumter, SC 29154 | 2009-10-07 |
| 1912146523 | Sarah E Pope | Behavioral Analyst | 2580 Lindo Court, Sumter, SC 29154 | 2009-02-05 |
| Find all providers in zip 29154 | ||||
| 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 |
|---|---|---|---|---|
| 1184250326 | Quiana Meshell Dixon | Developmental Therapist | 101-105 N York Street, Lancaster, SC 29720-2972 | 2020-03-19 |
| 1861023608 | Sheri Coughlin | Developmental Therapist | 504 10th Ave S, North Myrtle Beach, SC 29582-3528 | 2020-01-30 |
| 1497212005 | Kristen Sloan | Developmental Therapist | 1000 Hammond Rd Sw, Aiken, SC 29803-5340 | 2019-03-01 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1174990436 | Kimberly Shappell | Developmental Therapist | 6650 Rivers Ave Ste 100, North Charleston, SC 29406-4809 | 2015-08-21 |
| 1245654102 | Horse N Around Therapeutic Riding Center | Developmental Therapist | 2593 N Rocky River Rd, Lancaster, SC 29720-6038 | 2014-02-13 |
| 1922429760 | Kharnesheia Ferguson | Developmental Therapist | 119 Harvest Cir, Bluffton, SC 29910-6114 | 2013-12-20 |
| 1285985143 | Maura A Feltner | Developmental Therapist | 193 Brickyard Point Rd S, Beaufort, SC 29907-1226 | 2012-10-01 |
| 1942558267 | Suzanne M Lataille | Developmental Therapist | 47 James F Byrnes St, Beaufort, SC 29907-1940 | 2012-08-16 |
| 1578833703 | Tetyana M Christison | Developmental Therapist | 3431 Covenant Rd, Apt P5, Columbia, SC 29204-4279 | 2012-01-04 |
| 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.