SHAWN SANDERS


Address: 3858 N Camelot Dr, Apt 3b, Decatur, IL 62526-2057
Phone: 2172018899

SHAWN SANDERS (NPI# 1720471998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720471998
Entity Type Individual
Full Name SHAWN SANDERS
Practice Address 3858 N Camelot Dr
Apt 3b
Decatur
IL 62526-2057
Practice Telephone 2172018899
Mailing Telephone 2172018899
Enumeration Date 2015-03-12
Last Update Date 2015-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SHAWN SANDERS

NPI Name Taxonomy Address Enumeration
1629207170 Shawn Sanders Internal Medicine 501 Marshall St Ste 104, Jackson, MS 39202-1663 2009-07-06

Office Location

Street Address 3858 N CAMELOT DR
APT 3B
City DECATUR
State IL
Zip Code 62526-2057

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124642111 Sharon M Renfro Developmental Therapist 118 Greenridge Dr, Decatur, IL 62526-1426 2020-06-04
1912553538 Taylor Patterson Developmental Therapist 2237 Appletree Ln, Decatur, IL 62521-3901 2019-08-11
1457903056 Jenna Mccrady Developmental Therapist 4524 Havenwood Dr, Decatur, IL 62526-1125 2019-07-12
1861057739 Amy Lizette Porter Developmental Therapist 1070 W Olive St, Decatur, IL 62526-3761 2019-05-07
1528545274 Julia Catherine Moroney Developmental Therapist 3279 Fields Ct, Decatur, IL 62521-4814 2018-07-25
1073905030 Elizabeth Ann Harding Developmental Therapist 1045 E Harrison Ave, Decatur, IL 62526-4872 2015-02-28
1255747820 Kristy Young Developmental Therapist 340 Olympic Ct, Apt 17, Decatur, IL 62526-1811 2014-07-03
1699116913 Carrie Casch Developmental Therapist 2266 S Franzy Dr, Decatur, IL 62521-5577 2013-07-15
1295063881 Courtney Dyan Kirk Developmental Therapist 4815 N Martin Luther King Jr Dr, Apt 112, Decatur, IL 62526-6127 2009-11-20
1093990087 Barbara Anne Stobaugh Developmental Therapist 1927 N Graceland Ave, Decatur, IL 62526-4039 2008-01-08
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Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

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.

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