DONNELLE SUPER (NPI# 1508231283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508231283 |
| Entity Type | Individual |
| Full Name | DONNELLE SUPER |
| Practice Address |
8217 W Lake Rd Fairview PA 16415-1305 |
| Mailing Address |
5971 Teller Rd Girard PA 16417-9112 |
| Practice Telephone | 8148236440 |
| Mailing Telephone | 8148815299 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8217 W LAKE RD |
| City | FAIRVIEW |
| State | PA |
| Zip Code | 16415-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174918379 | Felisa V Read, Pt, LLC | Early Intervention Provider Agency | 8217 W Lake Rd, Fairview, PA 16415-1305 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451947 | Stefanie Hallowell | Counselor | 2445 West 34th Street, Fairview, PA 16415 | 2016-12-12 |
| 1952621203 | Katherine Walenciak Ulrich | Speech-Language Pathologist | 6019 Pebble Creek Dr, Fairview, PA 16415 | 2010-06-09 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1306979943 | Susan E Maland | Prosthetist | 7371 Fairweather Drive, Fairview, PA 16415 | 2007-03-13 |
| 1821172610 | Lawrence John Amenta | Dentist | 7435 West Ridge Rd, Box 496, Fariview, PA 16415 | 2006-10-25 |
| 1356360762 | Richard Sy Sposito | Family Medicine | 7686 West Ridge Rd., Fairview, PA 16415 | 2006-07-18 |
| 1477518124 | Richard Anthony Ortoski | Family Medicine | 7686 West Ridge Road, Fairview, PA 16415 | 2006-04-18 |
| 1184099012 | Mary Kathryn Washok | Occupational Therapy Assistant | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1578938403 | Laurie Jackson Hudson | Physical Therapist | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1689748766 | Michael William Brown | Dentist | 7435 West Ridge Rd, Fairview, PA 16415-0496 | 2006-11-20 |
| Find all providers in zip 16415 | ||||
| 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 |
|---|---|---|---|---|
| 1992305684 | Ashley Mccurry | Developmental Therapist | 5517 Baptist Rd, Pittsburgh, PA 15236-1632 | 2020-10-30 |
| 1811596513 | Catherine Mary Dusman | Developmental Therapist | 159 Jackson Dr, Chambersburg, PA 17201-8962 | 2020-10-22 |
| 1316575582 | Molly M Miske | Developmental Therapist | 3917 Warleigh Way, Mechanicsburg, PA 17050-5013 | 2020-03-31 |
| 1750916243 | Miranda Williams | Developmental Therapist | 2011 Deerfield Cmns, Shippensburg, PA 17257-8541 | 2020-03-05 |
| 1669004768 | Melinda Kaye Ostermann | Developmental Therapist | 2012 Hershey Rd, Erie, PA 16509-4514 | 2020-02-06 |
| 1497398986 | Deborah Marsilio | Developmental Therapist | 364 Lake Meade Dr, East Berlin, PA 17316-9369 | 2019-10-28 |
| 1457901753 | Sedavi Danh | Developmental Therapist | 1318 S 36th St, Philadelphia, PA 19146-3227 | 2019-09-18 |
| 1104471903 | Ashley Yeager | Developmental Therapist | 6343 Locust Ln, Mechanicsburg, PA 17050-1974 | 2019-08-08 |
| 1326692500 | Bridget Scott-doyle | Developmental Therapist | 23 Wyomissing Hills Blvd, Reading, PA 19609-1773 | 2019-07-26 |
| 1023679420 | Kaitlyn Marie Day | Developmental Therapist | 104 Oaken Way, Myerstown, PA 17067-3317 | 2019-06-26 |
| 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.