DAWN M. INGOLD


Address: 1605 Florence Ave, Pekin, IL 61554-1901
Phone: 3093475121

DAWN M. INGOLD (NPI# 1619118239) 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) 1619118239
Entity Type Individual
Full Name DAWN M. INGOLD
Practice Address 1605 Florence Ave
Pekin
IL 61554-1901
Mailing Address 108 W Jefferson St
Washington
IL 61571-1453
Practice Telephone 3093475121
Practice Fax Number 3093475124
Mailing Telephone 3096487396
Enumeration Date 2009-03-11
Last Update Date 2009-03-11
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 DAWN INGOLD

NPI Name Taxonomy Address Enumeration
1275758849 Dawn Flinchum Ingold Physical Therapist 1200 N Elm St, Greensboro, NC 27401-1004 2007-04-17

Office Location

Street Address 1605 FLORENCE AVE
City PEKIN
State IL
Zip Code 61554-1901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467679761 Connie S Helms Developmental Therapist 1605 Florence Ave, Pekin, IL 61554-1901 2007-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194279000 Shauna L Bivens Nurse Practitioner 3400 Griffin Ave., Pekin, IL 61554 2016-08-09
1720349780 Neal Family Chiropractic PC Chiropractor 2978 Court St., Pekin, IL 61554 2012-06-06
1366750671 Dennis Kammerer Stoller Dentist 1608 Broadway, Pekin, IL 61554 2010-09-21
1013186683 Tazwood Mental Health Center, Inc. Community Based Residential Treatment Facility, Mental Illness 1421 Valle Vista Blvd, Pekin, IL 61554 2008-02-27
1568631133 Tazwood Mental Health Center, Inc. Community Based Residential Treatment Facility, Mental Illness 1425 Valle Vista Blvd, Pekin, IL 61554 2008-02-27
1689856312 Pekin Supportive Living Limited Patnership Assisted Living Facility 1320 Executive Court, Pekin, IL 61554 2007-12-05
1205034824 Winfield Curtis Morgan Dentist 1503 Valle Vista, Pekin, IL 61554 2007-07-05
1376769638 Debra Mollie Davis Registered Nurse 2079 Edgewater Dr, Pekin, IL 61554 2007-04-17
1649308230 Tazewell County Health Department -dental Health Center Public Health or Welfare 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 2007-03-02
1528118239 Jerry Lee Marshall Dentist 135a-b Radio City Drive, North Pekin, IL 61554 2007-01-12
Find all providers in zip 61554

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
1063032274 Sharon Lynn Dalton Developmental Therapist 9957 S State Road 335, Pekin, IN 47165 2020-04-17
1669762084 Molly Bea Anderson Developmental Therapist 119a N Parkway Dr, Pekin, IL 61554-3932 2011-04-19
1750726949 Kathryn E Booker Developmental Therapist 119a N Parkway Dr, Pekin, IL 61554-3932 2013-05-02
1427343904 Megan Dawn Wilbers Developmental Therapist 119a N Parkway Dr, Pekin, IL 61554-3932 2011-06-13
1467679761 Connie S Helms Developmental Therapist 1605 Florence Ave, Pekin, IL 61554-1901 2007-04-19

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
Find all providers with the same taxonomy

Competitor

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City PEKIN
Zip Code 61554

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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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