MADISON GLENN (NPI# 1740752146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740752146 |
Entity Type | Individual |
Full Name | MADISON GLENN |
Practice Address |
1701 Library Blvd Greenwood IN 46142-1567 |
Mailing Address |
109 E Chestnut St Brazil IN 47834-1703 |
Practice Telephone | 3178819923 |
Mailing Telephone | 8126052889 |
Enumeration Date | 2018-12-23 |
Last Update Date | 2018-12-23 |
Gender Code | F |
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 |
1701 LIBRARY BLVD |
City | GREENWOOD |
State | IN |
Zip Code | 46142-1567 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013926799 | Russ A Rasmussen | Psychologist | 1701 Library Blvd, Suite E, Greenwood, IN 46142-1567 | 2006-08-05 |
1508427824 | Melissa Ray | Developmental Therapist | 1701 Library Blvd, Greenwood, IN 46142-1567 | 2019-06-26 |
1407364227 | Cynthia L Campbell | Counselor | 1701 Library Blvd, Greenwood, IN 46142-1567 | 2018-01-15 |
1861904682 | Kierstin Goforth | Occupational Therapist | 1701 Library Blvd, Suite A, Greenwood, IN 46142 | 2017-11-02 |
1497270607 | Brooke Callan | Speech-Language Pathologist | 1701 Library Blvd, Greenwood, IN 46142 | 2017-08-08 |
1639610579 | Crystal Livengood | Social Worker | 1701 Library Blvd, Greenwood, IN 46142-1567 | 2017-03-11 |
1437697778 | David Wolfe | Counselor | 1701 Library Blvd, Suite A, Greenwood, IN 46142-1567 | 2017-02-07 |
1518404011 | Angela Bannigan | Occupational Therapist | 1701 Library Blvd, Suite J, Greenwood, IN 46142-1567 | 2017-01-23 |
1891148599 | Katie Justice | Behavioral Analyst | 1701 Library Blvd, Greenwood, IN 46142-1567 | 2016-07-18 |
1306294855 | Ann Massy | Speech-Language Pathologist | 1701 Library Blvd, Greenwood, IN 46142-1567 | 2016-05-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
1467956201 | Gerth Counseling | Social Worker | 386 Meridian Parke Lane, Suit B, Greenwood, IN 46142 | 2018-03-19 |
1588019988 | Jessica Lynn Osborne | Speech-Language Pathologist | 1701 Library Park Blvd, Greenwood, IN 46142 | 2016-05-04 |
1417301359 | John Thomas Ferguson Jr. | Marriage & Family Therapist | 3209 W Smith Valley Road, #225, Indianapolis, IN 46142 | 2016-04-18 |
1982065132 | Linda Barnes | Occupational Therapist | 124 Hawthorne Lane, Greenwood, IN 46142 | 2016-03-16 |
1346611688 | Elisha Cain | Optometrist | 1298 Us-31, Greenwood, IN 46142 | 2015-10-13 |
1801158456 | Frank William Fortuna | Family Medicine | 461 Camby Court, Greenwood, IN 46142 | 2012-06-11 |
1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
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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 |
---|---|---|---|---|
1639405277 | Jami M Netter | Developmental Therapist | 270 Beechview Dr, Greenwood, IN 46142-3104 | 2009-11-01 |
1710100250 | Angela Kaye Williamson | Developmental Therapist | 715 Yellowwood Dr, Greenwood, IN 46143-8097 | 2007-04-11 |
1508427824 | Melissa Ray | Developmental Therapist | 1701 Library Blvd, Greenwood, IN 46142-1567 | 2019-06-26 |
1306404736 | Rashel Roberts | Developmental Therapist | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2019-05-31 |
1740752286 | Morgan Stunick | Developmental Therapist | 1701 Library Blvd Ste A, Greenwood, IN 46142-1567 | 2018-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952918757 | Alayna Kaye Gray | Developmental Therapist | 3825 S Woods Edge Bnd, Bloomington, IN 47401-8436 | 2020-09-25 |
1184236168 | Debbie Hargett | Developmental Therapist | 3911 Polk Rd, Boonville, IN 47601-8617 | 2020-08-20 |
1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
1003431859 | Michele L Lloyd | Developmental Therapist | 975 S 650 E, Montgomery, IN 47558-5592 | 2020-06-08 |
1063032274 | Sharon Lynn Dalton | Developmental Therapist | 9957 S State Road 335, Pekin, IN 47165 | 2020-04-17 |
1457987612 | Sonya Overman | Developmental Therapist | 18241 County Road 40, Goshen, IN 46526-5447 | 2020-03-19 |
1144854449 | Karen M Moore | Developmental Therapist | 26191 Pocket Rd Apt 2, Batesville, IN 47006-9617 | 2020-02-25 |
1598397754 | Shannon Deann Belt | Developmental Therapist | 6084 N Daden Dr, Alexandria, IN 46001-9227 | 2020-02-06 |
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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.