DEBORAH ELLIS (NPI# 1760830038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760830038 |
| Entity Type | Individual |
| Full Name | DEBORAH ELLIS |
| Practice Address |
301 West Calhoun Magnolia ARKANSAS 71753 WF |
| Mailing Address |
301 West Calhoun Magnolia AR 71753 |
| Practice Telephone | 8772341579 |
| Mailing Telephone | 8702341597 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922319961 | Deborah Baron Ellis | Social Worker | 157 East 86th Street, Neighborhood Coalition for Shelter, New York, NY 10028 | 2010-06-24 |
| 1215974704 | Deborah A Ellis | Psychologist | Upc Children's Hospital, 3901 Beaubien 4th Floor Carls Bldg, Detroit, MI 48201 | 2006-06-01 |
| 1275839979 | Deborah A Ellis | Health Educator | 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9552 | 2011-01-28 |
| 1285893529 | Deborah T Ellis | Speech-Language Pathologist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-06-02 |
| 1376746883 | Deborah Marie Ellis | Registered Nurse | 1225 E Fort Union Blvd, Ste 215, Cottonwood Heights, UT 84047-1889 | 2007-06-11 |
| 1134342405 | Deborah Lynne Ellis | Counselor | 1630 E Shaw Ave, Ste 150, Fresno, CA 93710-8105 | 2007-04-11 |
| 1265592869 | Deborah W Ellis | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-12-12 |
| 1740292390 | Deborah S Ellis | Social Worker | 1130 Ten Rod Rd, Suite D-104, North Kingstown, RI 02852-4161 | 2006-08-12 |
| 1427098441 | Deborah R Ellis | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-06-07 |
| Street Address |
301 WEST CALHOUN |
| City | MAGNOLIA |
| State | ARKANSAS |
| Zip Code | 71753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| 1437313103 | Mary Hanson | Physical Therapy Assistant | Kids First Magnolia Calhoun Rd, Magnolia, AR 71753 | 2008-07-11 |
| Find all providers in zip 71753 | ||||
| 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 |
|---|---|---|---|---|
| 1174013841 | Mallory Sullivan | Developmental Therapist | 1745 Hammonsville Jonesville Rd, Magnolia, KY 42757-7643 | 2018-05-17 |
| 1750688552 | Kayla Renee Mcdowell | Developmental Therapist | 125 Mary Way Dr, Magnolia, KY 42757-7835 | 2011-02-15 |
| 1366905002 | Allison Grace Saunders | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2019-04-10 |
| 1326545708 | Kinder Saige Patton | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2018-04-11 |
| 1801306857 | Chloe Arnold | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2017-10-04 |
| 1972979318 | Rebecka Wendling | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2015-08-20 |
| 1972945905 | Britnee S Weaver | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2013-07-18 |
| 1417262171 | Sylvia Jean Crawford | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2010-08-18 |
| 1790013480 | Wendi Michelle Pittman | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2009-11-18 |
| 1164674396 | Angela G Gardner | Developmental Therapist | 301 W Calhoun, Magnolia, AR 71753-3508 | 2008-10-21 |
| Find all providers in MAGNOLIA | ||||
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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.