MARY GOMULKA (NPI# 1598102063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598102063 |
| Entity Type | Individual |
| Full Name | MARY GOMULKA |
| Practice Address |
25145 Spring St Manhattan IL 60442-1402 |
| Practice Telephone | 7083075462 |
| Mailing Telephone | 7083075462 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| 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 |
25145 SPRING ST |
| City | MANHATTAN |
| State | IL |
| Zip Code | 60442-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285850511 | Melissa Culligan | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2007-04-17 |
| 1265862981 | Nicole Mcdonald | Art Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-11-15 |
| 1982040754 | Mandy Stanis | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-05-20 |
| 1114288693 | Above and Beyond Pediatric Therapy, Corp | Early Intervention Provider Agency | 25145 Spring St, Manhattan, IL 60442-1402 | 2012-05-31 |
| 1235416819 | Meghann Mcdonnell | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2011-11-09 |
| 1083927446 | Michelle Tiemeier | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851704951 | Ashley Pawlak | Physical Therapy Assistant | 240 S. Park St., Manhattan, IL 60442 | 2014-06-05 |
| 1295917300 | Christian E Foltys Dds PC | Dentist | 24600 South Route 52, Manhattan, IL 60442 | 2007-11-30 |
| 1275728073 | Kelly M Casey | Social Worker | 13920 W Joliet Rd, Manhattan, IL 60442 | 2007-09-14 |
| 1194758706 | Manhattan Fire Protection District | Ambulance | 100 Park Rd, Manhattan, IL 60442 | 2006-07-08 |
| 1003947995 | April M Kamba | Specialist/Technologist | 140 W 1st St, Manhattan, IL 60442-0579 | 2007-03-09 |
| 1669916367 | Nadi Akileh | Registered Nurse | 25309 Colligan St, Manhattan, IL 60442-1417 | 2016-12-14 |
| 1952632044 | Chelsea Finkbeiner | Occupational Therapy Assistant | 25451 Colligan St, Manhattan, IL 60442-1418 | 2010-01-29 |
| 1043795974 | Kelly Morgan Meyer | Speech-Language Pathologist | 25432 Colligan St, Manhattan, IL 60442-1419 | 2018-09-26 |
| 1801934195 | Julie Marie Balis | Speech-Language Pathologist | 25352 Abbey Ln, Manhattan, IL 60442-1430 | 2007-02-01 |
| 1992911341 | Christina Helen Repka | Physician Assistant | 24427 Arrowhead Dr, Manhattan, IL 60442-1452 | 2007-05-15 |
| Find all providers in zip 60442 | ||||
| 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 |
|---|---|---|---|---|
| 1568857209 | Laura Falkner | Developmental Therapist | 16249 Celtic Cir, Manhattan, IL 60442-6100 | 2015-03-31 |
| 1801237201 | Adrienne Eileen Eberhardt | Developmental Therapist | 804 Laramie St, Manhattan, KS 66502-5682 | 2013-07-13 |
| 1710328117 | Meredith Kathleen Gagich | Developmental Therapist | 1630 Humboldt St, Apartment D, Manhattan, KS 66502-4166 | 2013-07-13 |
| 1366880155 | Amanda List | Developmental Therapist | 25632 Barrow Rd, Manhattan, IL 60442-6250 | 2013-06-13 |
| 1174887046 | Lisa Christel | Developmental Therapist | 123 Brett Dr, Manhattan, IL 60442-9298 | 2012-06-26 |
| 1023312758 | Danielle Daletski | Developmental Therapist | 25367 Faraday Rd, Manhattan, IL 60442-6211 | 2011-01-10 |
| 1285850511 | Melissa Culligan | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2007-04-17 |
| 1992204705 | Little Leaps Therapy | Developmental Therapist | 16249 Celtic Cir, Manhattan, IL 60442-6100 | 2018-02-07 |
| 1982040754 | Mandy Stanis | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2013-05-20 |
| 1235416819 | Meghann Mcdonnell | Developmental Therapist | 25145 Spring St, Manhattan, IL 60442-1402 | 2011-11-09 |
| Find all providers in MANHATTAN | ||||
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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.