MRS. AMY ROESKE-MORENO (NPI# 1679874473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679874473 |
| Entity Type | Individual |
| Full Name | MRS. AMY ROESKE-MORENO |
| Credential | EIS |
| Practice Address |
19965 Fm 3175 Lytle TX 78052-3481 |
| Mailing Address |
Po Box 725 Lytle TX 78052-0725 |
| Practice Telephone | 2103570395 |
| Practice Fax Number | 8307095493 |
| Mailing Telephone | 2103570395 |
| Mailing Fax Number | 8307095493 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 990045 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE OTHER | 99-0045 | 01 |
| Street Address |
19965 FM 3175 |
| City | LYTLE |
| State | TX |
| Zip Code | 78052-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447384839 | Lilli Leihua Leong | Physical Medicine & Rehabilitation | 19965 Fm 3175, Lytle, TX 78052-3481 | 2007-03-15 |
| 1669014262 | Annah Marie Guzman | Counselor | 19965 Fm 3175, Lytle, TX 78052-3481 | 2019-10-15 |
| 1720550460 | Michelle Marie Gonzalez | Speech-Language Pathologist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2018-12-19 |
| 1841773066 | Jessie Sitka | Occupational Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2018-09-13 |
| 1417435520 | Megan Moore | Speech-Language Pathologist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2018-07-31 |
| 1144720673 | Susan Kay Mccarty | Counselor | 19965 Fm 3175, Lytle, TX 78052-3481 | 2018-02-21 |
| 1003329723 | Gary Gene Sarli | Behavioral Analyst | 19965 Fm 3175, Lytle, TX 78052-3481 | 2017-11-16 |
| 1780197491 | Camino Real Community Mhmr Center | Behavioral Analyst | 19965 Fm 3175, Lytle, TX 78052-3481 | 2017-11-16 |
| 1720591449 | Lynnette Danielle Aguilar | Behavioral Analyst | 19965 Fm 3175, Lytle, TX 78052-3481 | 2017-11-16 |
| 1083155527 | Anne Jenene Zurovec | Occupational Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2017-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854022 | Shri Durga Drugs LLC | Pharmacy | 19450 Mcdonald St Ste 102, Lytle, TX 78052 | 2019-01-09 |
| 1881129872 | Sagar Dental | Dentist | 19450 Mcdonald St, Suite 101, Lytle, TX 78052 | 2017-04-27 |
| 1376080242 | Jayanth Christian | Dentist | 19450 Mcdonald St # 101, Lytle, TX 78052 | 2017-01-30 |
| 1407161284 | Elaine Evelyn Gage-gonzalez | Pharmacist | 19565 Ih 35 S, Lytle, TX 78052 | 2010-08-17 |
| 1871808659 | Larry Wayne Bohmfalk | Pharmacist | 19565 Interstate Highway 35 South, Lytle, TX 78052 | 2010-08-17 |
| 1831427376 | Gabriel Alvarado | Specialist/Technologist, Other | 170 Terry Ln, Lytle, TX 78052 | 2009-11-20 |
| 1710145958 | Fahimah Yazdanfard Callahan | Dietitian, Registered | 14832 Main St., Usrenal Caretri-county Dialysis, Lytle, TX 78052 | 2008-05-23 |
| 1194849554 | Patricia Barrera | Physical Therapist | 15320 Main St, Lytle, TX 78052 | 2007-03-19 |
| 1316070360 | Emma C. Garcia | Occupational Therapist | 19965 Fm 3175 N., Lytle, TX 78052 | 2007-03-13 |
| 1154468296 | Donna Beck Granato | Counselor | 3160 Fm 3175, Lytle, TX 78052 | 2007-01-30 |
| Find all providers in zip 78052 | ||||
| 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 |
|---|---|---|---|---|
| 1932401155 | Claudia Hernandez | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-19 |
| 1154623536 | Pura Leal | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-17 |
| 1306147103 | Arianna Perez | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| 1841591641 | Brenda Salazar | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| 1477854271 | Olga N Sanchez-duran | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| 1174824973 | Carmen Y Vasquez Rodriguez | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| 1871894683 | Maria Del Carmen Leal | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| 1346541141 | Kathryn Woods | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| 1215238019 | Marisa Ramirez | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| 1124329933 | Shannon Stanush | Developmental Therapist | 19965 Fm 3175, Lytle, TX 78052-3481 | 2010-11-10 |
| Find all providers in LYTLE | ||||
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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.