MRS. MOLLY BEA ANDERSON (NPI# 1669762084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669762084 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY BEA ANDERSON |
| Credential | M. A. |
| Practice Address |
119a N Parkway Dr Pekin IL 61554-3932 |
| Mailing Address |
413 Apache Way Groveland IL 61535-9409 |
| Practice Telephone | 3096426763 |
| Mailing Telephone | 3093876404 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792874 | Molly Anderson | Student in an Organized Health Care Education/Training Program | 5035 Maple Grove Rd, Hermantown, MN 55811-1443 | 2020-02-14 |
| 1982908968 | Molly Margaret Anderson | Physical Therapist | 4033 Valley West Dr, Rapid City, SD 57702-3158 | 2011-01-05 |
| 1639146145 | Molly Anderson | Family Medicine | 101 N Taylor Ln, Patagonia, AZ 85624-9600 | 2006-03-02 |
| 1013563543 | Molly Mckenzie Anderson | Nurse Practitioner | 565 Manhattan Ave, New York, NY 10027-5250 | 2019-08-12 |
| 1326508276 | Molly Elizabeth Anderson | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2019-03-25 |
| 1003388851 | Molly Anderson | Physician Assistant | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2018-12-18 |
| 1811485568 | Molly Anderson | Pharmacist | 1680 Fort Campbell Blvd, Clarksville, TN 37042-3537 | 2018-04-27 |
| 1417468430 | Molly Anderson | Registered Nurse | 1909 Hampshire Pike, Columbia, TN 38401-5650 | 2017-10-17 |
| 1841728623 | Molly A Anderson | Otolaryngology | 5055 A St Ste 300, Lincoln, NE 68510-4970 | 2017-05-24 |
| 1154866374 | Molly Lyn Anderson | Nurse Practitioner | 10735 W 159th St, Orland Park, IL 60467-4531 | 2016-12-24 |
| Street Address |
119A N PARKWAY DR |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 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 |
|---|---|---|---|---|
| 1063032274 | Sharon Lynn Dalton | Developmental Therapist | 9957 S State Road 335, Pekin, IN 47165 | 2020-04-17 |
| 1619118239 | Dawn M. Ingold | Developmental Therapist | 1605 Florence Ave, Pekin, IL 61554-1901 | 2009-03-11 |
| 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 |
| 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 |
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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.