CENTRAL FLORIDA DREAMPLEX LLC (NPI# 1457526378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457526378 |
Entity Type | Organization |
Organization Name | CENTRAL FLORIDA DREAMPLEX LLC |
Practice Address |
2400 S Highway 27 Ste B201 Clermont FL 34711-6816 |
Mailing Address |
Po Box 120547 Clermont FL 34712-0547 |
Practice Telephone | 3523940212 |
Practice Fax Number | 3522416361 |
Mailing Telephone | 3523940212 |
Mailing Fax Number | 3522416361 |
Enumeration Date | 2008-04-23 |
Last Update Date | 2020-03-26 |
Authorized Official Name | AMY JO GOMES (PRESIDENT) |
Authorized Official Telephone | 3524060922 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 811908200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215017512 | Central Florida Dreamplex LLC | Occupational Therapist | 2400 S Highway 27, Suite B201, Clermont, FL 34711-6816 | 2006-10-17 |
1952523490 | Central Florida Dreamplex LLC | Durable Medical Equipment & Medical Supplies | 2400 S Highway 27 Ste B201, Clermont, FL 34711 | 2007-05-03 |
Street Address |
2400 S HIGHWAY 27 STE B201 |
City | CLERMONT |
State | FL |
Zip Code | 34711-6816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700805686 | Channing Heavenor Creveling | Speech-Language Pathologist | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2006-07-19 |
1124656871 | Maria Camila Castillo | Physical Therapist | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2020-03-30 |
1366079873 | Vicki Deutsch | Physical Therapy Assistant | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2020-03-25 |
1376179754 | Carol O Rodriguez | Occupational Therapy Assistant | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2020-03-18 |
1518504554 | Carol Murray Russo | Speech-Language Pathologist | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2019-12-10 |
1235623646 | Carolina M Gamazo | Early Intervention Provider Agency | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2018-06-19 |
1578073011 | Wendy Wheeler | Physical Therapist | 2400 S Highway 27 Ste B201, Clermont, FL 34711 | 2017-10-11 |
1114440252 | Maria Rodgers | Early Intervention Provider Agency | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2017-07-20 |
1518406891 | Savannah Hawthorne | Physical Therapy Assistant | 2400 S Highway 27 Ste B201, Clermont, FL 34711-6816 | 2017-02-20 |
1598193427 | Christina Victoria Tokics Lacek | Physical Therapist | 2400 S Highway 27 Ste B201, Clermont, FL 34711 | 2013-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
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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 |
---|---|---|---|---|
1760861744 | Elisa Raquel Arocho-medina | Developmental Therapist | 710 Avenida Cuarta Apt 103, Clermont, FL 34714-7558 | 2015-05-25 |
1598299513 | Carrie Little | Developmental Therapist | 2400 S Highway 27, Suite B201, Clermont, FL 34711-6816 | 2017-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
1316554116 | Carley Alexandra Scartz-nisbet | Developmental Therapist | 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 | 2020-09-25 |
1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
1750991188 | Kimberley Nunez | Developmental Therapist | 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 | 2020-07-31 |
1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
1851900922 | Nathalia Brown | Developmental Therapist | 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 | 2020-07-24 |
1053929752 | Jill Schnortz | Developmental Therapist | 484 Nw 232nd Ter, Newberry, FL 32669-2282 | 2020-07-20 |
1447868310 | Carleen Korkin | Developmental Therapist | 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 | 2020-07-16 |
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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.