MRS. KATHERINE ANNE PETERSON (NPI# 1548671167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548671167 |
Entity Type | Individual |
Full Name | MRS. KATHERINE ANNE PETERSON |
Credential | D.T. |
Practice Address |
1130 Jonesboro Quarry Rd Anna IL 62906-3777 |
Practice Telephone | 6183224338 |
Mailing Telephone | 6183224338 |
Enumeration Date | 2014-05-16 |
Last Update Date | 2014-05-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417592742 | Katherine Peterson | Psychologist | 1150 University Dr Ste 103, Menlo Park, CA 94025-4447 | 2019-11-11 |
1164076345 | Katherine V Peterson | Dietitian, Registered | 302 W North St Apt 26, Waukesha, WI 53188-5142 | 2019-07-26 |
1144647322 | Katherine Peterson | Rehabilitation Practitioner | 1255 Curti Dr, Reno, NV 89502-1708 | 2014-03-25 |
1437434370 | Katherine K Peterson | Speech-Language Pathologist | 451 E Poyntz Ave, Manhattan, KS 66502-5045 | 2011-10-11 |
1982905980 | Katherine R Peterson | Naturopath | 4240 Kipling St, Wheat Ridge, CO 80033 | 2010-11-06 |
1700075579 | Katherine Dean Peterson | Psychologist | 2352 Tyler Ln, Louisville, KY 40205-2635 | 2007-10-17 |
1437757093 | Katherine Peterson | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2020-10-15 |
1043730914 | Katherine R Peterson | Case Manager/Care Coordinator | 975 Kingsview Dr, Lebanon, OH 45036-9562 | 2017-06-22 |
1164963393 | Katherine Peterson | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, University of Vermont Medical Center, Burlington, VT 05401-1473 | 2017-03-20 |
1679936728 | Katherine Peterson | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, #ms 390, Houston, TX 77030-3411 | 2016-04-05 |
Street Address |
1130 JONESBORO QUARRY RD |
City | ANNA |
State | IL |
Zip Code | 62906-3777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265711600 | Community Integrated Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Jeni Lane, Anna, IL 62906 | 2011-08-16 |
1508153768 | Union County Counseling Services Inc | Clinic/Center | 202 South St, Anna, IL 62906 | 2011-07-07 |
1326335589 | Union County Counseling Services Inc | Clinic/Center | 302 South St, Anna, IL 62906 | 2011-07-07 |
1063709228 | Union County Counseling Services Inc | Community Based Residential Treatment Facility, Mental Illness | 311 W Vienna St, Anna, IL 62906 | 2011-07-07 |
1598920928 | Steven Wayne Vincent | Dentist | 131 West Vienna Street, Anna, IL 62906 | 2008-07-24 |
1427236900 | Cardinal House Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Douglas Street, Anna, IL 62906 | 2008-02-06 |
1992913719 | High Chiropractic Center | Chiropractor | 35 Walton Lane, Anna, IL 62906 | 2007-05-18 |
1023235678 | Chuck C. Bugle | Psychologist | 311 W. Spring St., Anna, IL 62906 | 2007-04-18 |
1922194604 | Nancy Kay Webb | Physical Therapist | 515 E Vienna Street, Suite I, Anna, IL 62906 | 2006-10-04 |
1144242918 | William W Mings | Psychiatry & Neurology | 204 South St, Anna, IL 62906 | 2006-07-24 |
Find all providers in zip 62906 |
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 |
---|---|---|---|---|
1295073567 | Rebecca Royann Poole | Developmental Therapist | 213 Grand St, Anna, IL 62906-1909 | 2013-01-22 |
1306151949 | Nancy L Bass | Developmental Therapist | 128 Orange St, Anna, IL 62906-1152 | 2010-08-06 |
1356677066 | Frank Farino | Developmental Therapist | 833 Westfield Dr, Anna, TX 75409-5105 | 2009-10-30 |
1063754539 | Kathleen Elizabeth Stegle | Developmental Therapist | 101 Industrial Dr, Apt 4b, Anna, IL 62906-2162 | 2013-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003413568 | Amy Rohan | Developmental Therapist | 17545 Mulberry Ave, Tinley Park, IL 60487-6163 | 2020-10-07 |
1992302954 | Vannetta C Thompson | Developmental Therapist | 2247 Gunderson Ave Apt 2, Berwyn, IL 60402-5147 | 2020-10-02 |
1477150506 | Quanita Crawford | Developmental Therapist | 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 | 2020-10-01 |
1740897412 | Angela Perry | Developmental Therapist | 521 Eden Park Dr, Rantoul, IL 61866-1507 | 2020-09-28 |
1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
1003429820 | Adrienne C Latronica | Developmental Therapist | 9865 Cordoba Ct Apt 2b, Orland Park, IL 60462-3190 | 2020-08-31 |
1669083424 | Lindsay Miner | Developmental Therapist | 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 | 2020-08-13 |
1851901672 | Gretchen Susanne Biggerstaff | Developmental Therapist | 1706 S Hancock St, Mc Leansboro, IL 62859-1996 | 2020-08-06 |
1205446549 | Rene Yvonne Green | Developmental Therapist | 14425 E Blue Ridge Dr, Effingham, IL 62401-7168 | 2020-08-02 |
1306455357 | Noel Elizabeth Ryall | Developmental Therapist | 9123 Baldwin Dr, Machesney Park, IL 61115-1715 | 2020-07-27 |
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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.