SHANNON GRACE RUTTER (NPI# 1740727080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740727080 |
| Entity Type | Individual |
| Full Name | SHANNON GRACE RUTTER |
| Credential | M.S. |
| Practice Address |
2608 E Church St Orlando FL 32803-6303 |
| Practice Telephone | 4072840103 |
| Mailing Telephone | 4072840103 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| 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 |
| Street Address |
2608 E CHURCH ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| 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 |
|---|---|---|---|---|
| 1154877983 | Iris Lopez | Developmental Therapist | 14036 Colonial Grand Blvd, Suite 0810, Orlando, FL 32837-4825 | 2016-08-31 |
| 1386093268 | Margaret Stokes | Developmental Therapist | 3308 Eagle Blvd, Orlando, FL 32804-3702 | 2016-06-10 |
| 1225485972 | Cynthia Rolle | Developmental Therapist | 1830 Baywood Ave, Orlando, FL 32818-5807 | 2016-05-23 |
| 1265804827 | Mercedes Enos | Developmental Therapist | 430 E Muriel St, Orlando, FL 32806-4033 | 2015-10-22 |
| 1083010748 | Olga Lucia Garcia | Developmental Therapist | 1509 Abberton Dr, Orlando, FL 32837-6563 | 2014-11-07 |
| 1023414745 | Ana Isabel Useche | Developmental Therapist | 12921 Entrada Dr, Orlando, FL 32837-4617 | 2014-11-06 |
| 1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
| 1790191468 | Fabiola Gomez | Developmental Therapist | 7634 Pine Nest Ct, Orlando, FL 32822-7222 | 2014-07-02 |
| 1811307671 | Mallory E Creekmore | Developmental Therapist | 9308 Northlake Pkwy, 112, Orlando, FL 32827-5734 | 2014-05-02 |
| 1558786418 | Jennifer Vinson | Developmental Therapist | 447 Bella Vida Blvd, Orlando, FL 32828-6717 | 2014-02-28 |
| Find all providers in ORLANDO | ||||
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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.