MRS. KATHERINE ANNE PETERSON


Address: 1130 Jonesboro Quarry Rd, Anna, IL 62906-3777
Phone: 6183224338

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KATHERINE PETERSON

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

Office Location

Street Address 1130 JONESBORO QUARRY RD
City ANNA
State IL
Zip Code 62906-3777

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City ANNA
Zip Code 62906

Improve Information

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Dataset Information

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.

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