MISS KATHLEEN ROSS (NPI# 1619357647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619357647 |
| Entity Type | Individual |
| Full Name | MISS KATHLEEN ROSS |
| Credential | DPT |
| Practice Address |
4600 Beach Blvd Jacksonville FL 32207-4764 |
| Mailing Address |
14043 Prater Ct Jacksonville FL 32224-0867 |
| Practice Telephone | 9043465100 |
| Mailing Telephone | 7573344402 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT30360 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
30360 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 222Q00000X | Developmental Therapist | PT30360 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970299 | Kathleen Mary Ross | Physical Therapist | 1250 Niagara St Fl 2, Buffalo, NY 14213-1502 | 2019-12-21 |
| 1295063667 | Kathleen D. Ross | Speech-Language Pathologist | 169 Lower Sunnybrook Road, Middlesex, VT 05602 | 2009-11-24 |
| 1295995363 | Kathleen S Ross | Speech-Language Pathologist | 4565 Little Farms Dr, Zachary, LA 70791-4348 | 2008-06-12 |
| 1124151782 | Kathleen C. Ross | Marriage & Family Therapist | 21225 Pacific Coast Hwy, Suite A, Malibu, CA 90265-5275 | 2007-03-13 |
| 1932257185 | Kathleen E Ross | Social Worker | 2840 Post Rd, Plover, WI 54467-3443 | 2007-01-06 |
| 1083119986 | Kathleen C. Ross | Assistant Behavior Analyst | 329 E 149th St, Bronx, NY 10451-5625 | 2018-03-24 |
| 1205388873 | Kathleen V Ross | Social Worker | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2016-10-31 |
| 1508115205 | Kathleen R Ross | Counselor | 308 Mission Drive, St. Ignatius, MT 59865 | 2012-09-10 |
| 1053549600 | Kathleen Ann Ross | Social Worker | 255 S 17th St, Suite 1305, Philadelphia, PA 19103-6231 | 2009-06-22 |
| 1235325309 | Kathleen M Ross | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2007-09-21 |
| Street Address |
4600 BEACH BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-4764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295769602 | Hope Haven Children's Clinic and Family Center | Psychologist | 4600 Beach Blvd, Jacksonville, FL 32207-7700 | 2006-07-10 |
| 1629550280 | Deanna Zastrow | Psychologist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2018-08-30 |
| 1659891695 | Patrick O'brien | Counselor | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2017-06-21 |
| 1407190424 | Katherine Lynch | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2012-11-15 |
| 1699039768 | Jennifer Mae Handler | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2012-07-03 |
| 1821326315 | Valerie Gray Allison | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2009-11-23 |
| 1215111224 | Susan Green | Speech-Language Pathologist | 4600 Beach Blvd, Jacksonville, FL 32207-7700 | 2007-12-27 |
| 1376766840 | Lindsey Oline Haugan | Occupational Therapist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-04-11 |
| 1629108006 | Hope Haven Children's Clinic & Family Center | Day Training, Developmentally Disabled Services | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-03-06 |
| 1851440333 | Joseph Pesek IIi | Pediatrics | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 |
|---|---|---|---|---|
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1710543897 | Angela Marie Simons | Developmental Therapist | 14030 Ivylgail Dr N, Jacksonville, FL 32225-2024 | 2019-05-14 |
| 1861954950 | Darnise Lashelle Price | Developmental Therapist | 18 Woodbriar Dr, Jacksonville, AR 72076-5365 | 2019-04-05 |
| 1255804977 | Christina Maton | Developmental Therapist | 11041 Ridge Point Dr, Jacksonville, FL 32257-3717 | 2019-01-04 |
| 1811415847 | Kimberly Armstrong | Developmental Therapist | 1206 Turtle Creek Dr. S, Jacksonville, FL 32218 | 2017-08-30 |
| 1407395205 | Mary Christina Bush | Developmental Therapist | 1274 Surfway Ct, Jacksonville, FL 32233-2241 | 2017-02-14 |
| 1922554575 | Lavoris Andrew Mobley | Developmental Therapist | 9000 Cypress Green Drive, Jacksonville, FL 32256 | 2016-09-01 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1134676711 | Katelyn Luksha | Developmental Therapist | 6867 Southpoiont Drive North, Jacksonville, FL 32216 | 2016-09-01 |
| 1780057794 | Nicole Terry | Developmental Therapist | 3610 N Ride Dr, Jacksonville, FL 32223-7489 | 2015-11-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on MISS KATHLEEN ROSS.
| 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.