MRS. JACKLYN MARTIN (NPI# 1619319076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619319076 |
| Entity Type | Individual |
| Full Name | MRS. JACKLYN MARTIN |
| Practice Address |
913 Overview Dr Lexington KY 40514-1032 |
| Practice Telephone | 8593388528 |
| Mailing Telephone | 8593388528 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 201111003 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
913 OVERVIEW DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40514-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310525 | Ameer Allouch | Pharmacist | 3513 Dylan Place, Lexington, KY 40514 | 2014-06-11 |
| 1417226911 | Meenu Devi | Specialist | 505 Newbury Way, Lexington, KY 40514 | 2011-12-29 |
| 1295998185 | Dickson Peter Ufomata | Dentist | 1600 Leestown Road, Ste. 138, Lexington, KY 40514 | 2008-07-09 |
| 1073980918 | Krystina Marcio | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514 | 2015-08-26 |
| 1336224484 | The Smile Shop Inc | Dentist | 3650 Boston Rd, Suite K, Lexington, KY 40514 | 2006-10-26 |
| 1184806259 | Carrie Bales | Developmental Therapist | 1028 Moylan Ln, Lexington, KY 40514-1010 | 2007-11-30 |
| 1134512361 | Rachael Hilliard | Speech-Language Pathologist | 1145 Wood Ridge Rd, Lexington, KY 40514-1016 | 2015-03-12 |
| 1427214394 | Karen C Mahaney | Pharmacist | 3813 Dylan Pl, Lexington, KY 40514-1062 | 2008-07-31 |
| 1366606501 | Chiro One Wellness Center of Mill Pond Pllc | Chiropractor | 3801 Dylan Pl, Suite 110, Lexington, KY 40514-1062 | 2008-07-16 |
| 1316056807 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 3813 Dylan Place, Lexington, KY 40514-1062 | 2006-08-29 |
| Find all providers in zip 40514 | ||||
| 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 |
|---|---|---|---|---|
| 1750933842 | Melinda B Malin | Developmental Therapist | 4075 Houston Antioch Rd, Lexington, KY 40516-9504 | 2019-07-10 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1891279402 | Paula D. Stoner | Developmental Therapist | 8624 W State Road 356, Lexington, IN 47138-7616 | 2018-09-19 |
| 1770064966 | Elizabeth Webber | Developmental Therapist | 11888 W Polk Rd, Lexington, IN 47138-6843 | 2018-08-24 |
| 1750880530 | Elizabeth Mclaren | Developmental Therapist | 216 E Bell Ct, Lexington, KY 40508-1935 | 2018-02-07 |
| 1881104594 | Kasey R Thomas | Developmental Therapist | 3801 Horsemint Trl, Lexington, KY 40509-2949 | 2017-10-07 |
| 1245765262 | Kaitlin Jo Dick | Developmental Therapist | 633 Leslie Dr, Lexington, KY 40505-1832 | 2017-04-27 |
| 1598146599 | Rachel Schilling | Developmental Therapist | 1137 Mountain Laurel Way, Lexington, KY 40511-8654 | 2015-06-15 |
| 1407235898 | Cayla Raye Norris | Developmental Therapist | 2151 Meeting St Apt 2102, Lexington, KY 40509-4641 | 2015-05-19 |
| 1962801167 | Melanie Mizeur | Developmental Therapist | 662 Mint Hill Ln, Lexington, KY 40509-1918 | 2014-08-14 |
| Find all providers in LEXINGTON | ||||
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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.