MS. KAETLIN LINDSEY ROMBERG (NPI# 1417461906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417461906 |
| Entity Type | Individual |
| Full Name | MS. KAETLIN LINDSEY ROMBERG |
| Credential | EDM |
| Practice Address |
6820 Madrone Dr Rockford MI 49341-9578 |
| Mailing Address |
2626 N Ashland Ave Unit G Chicago IL 60614-1102 |
| Practice Telephone | 4803136777 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| 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 |
6820 MADRONE DR |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-9578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609425701 | Brittney Marquee Powrozek | Developmental Therapist | 6820 Madrone Dr, Rockford, MI 49341-9578 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| 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 |
|---|---|---|---|---|
| 1407417397 | Christine Criel | Developmental Therapist | 422 Vale Ave N, Rockford, IL 61107-4652 | 2019-06-22 |
| 1285194712 | Corneilia L Ervins | Developmental Therapist | 5225 Linden Rd Apt 7207, Rockford, IL 61109-6419 | 2019-03-21 |
| 1194172932 | Emily Dyson | Developmental Therapist | 3425 Oak Grove Ave, Rockford, IL 61108-1856 | 2016-05-23 |
| 1326492653 | Dawn Davis | Developmental Therapist | 2650 Springdale Dr, Rockford, IL 61114-6452 | 2016-04-23 |
| 1699132043 | Jennifer Anders | Developmental Therapist | 2140 Eggleston Rd, Rockford, IL 61108-7908 | 2016-01-15 |
| 1699193417 | Jennifer Jean Rossol | Developmental Therapist | 4019 Latham St, Rockford, IL 61103-1628 | 2014-03-29 |
| 1821349861 | Colette Marie Rossi-luebke | Developmental Therapist | 4304 Tallwood Ave, Rockford, IL 61114-6053 | 2012-10-01 |
| 1972734648 | Nancy A Hunt | Developmental Therapist | 1131 Griggs Rd, Rockford, IL 61108-4582 | 2009-07-29 |
| 1134359086 | Mary Elizabeth Hunter | Developmental Therapist | 6475 Weaver Rd, Rockford, IL 61114-8109 | 2009-07-24 |
| 1760629737 | Anne G. Herkert | Developmental Therapist | 802 Highview Ave, Rockford, IL 61107-3316 | 2009-01-13 |
| Find all providers in ROCKFORD | ||||
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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.