KEELAN TOBIA (NPI# 1629427935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629427935 |
| Entity Type | Individual |
| Full Name | KEELAN TOBIA |
| Practice Address |
501 W Broadway, Suite 800 San Diego CA 92101 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 8888809270 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| 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 |
501 W BROADWAY, SUITE 800 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477062685 | Mckenna Marmelstein | Behavior Technician | 501 W Broadway, Suite 800, San Diego, CA 92101 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| 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 |
|---|---|---|---|---|
| 1013463363 | Waheeda Waheed | Developmental Therapist | 501 W Broadway, Suit 800, San Diego, CA 92101 | 2016-08-28 |
| 1730595570 | Charity Fluegge | Developmental Therapist | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128 | 2014-07-01 |
| 1295145647 | Brittany Shaw | Developmental Therapist | 4119 Highland Ave, Unit 6, San Diego, CA 92105-1764 | 2014-05-06 |
| 1063838670 | Yulia Brokken | Developmental Therapist | 3575 Caminito El Rincon Unit 214, San Diego, CA 92130-3522 | 2014-03-07 |
| 1922437292 | Bernadette Moriarty | Developmental Therapist | 2727 De Anza Rd, Spc. N9, San Diego, CA 92109-6808 | 2013-11-06 |
| 1669666384 | Wannaporn Vudhichamnong | Developmental Therapist | 7510 Charmant Dr Apt 727, San Diego, CA 92122-5027 | 2007-09-06 |
| 1366990350 | Daisy Resendiz | Developmental Therapist | 501 W Broadway, Suite 800, San Diego, CA 92101-3536 | 2016-09-19 |
| 1750839932 | Chelsea Leigh Tonti | Developmental Therapist | 501 W Broadway, Suite 800, San Diego, CA 92101-3536 | 2016-09-15 |
| 1568918217 | Caitlyn Olszewski | Developmental Therapist | 501 West Broadway, Suite 800, San Diego, CA 92101 | 2016-08-31 |
| 1912452467 | Jacqueline Hayter | Developmental Therapist | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2016-08-24 |
| Find all providers in SAN DIEGO | ||||
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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.