MADISON NELSON (NPI# 1780294108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780294108 |
| Entity Type | Individual |
| Full Name | MADISON NELSON |
| Practice Address |
2626 Saint Joe Center Rd Fort Wayne IN 46825-5042 |
| Practice Telephone | 2604970328 |
| Mailing Telephone | 2604970328 |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-08-01 |
| 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 |
|---|---|---|---|---|
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1376174615 | Madison Nelson | Behavior Technician | 12650 E Briarwood Ave, Suite 207, Centennial, CO 80112-6792 | 2020-01-27 |
| 1790336550 | Madison Nelson | Specialist/Technologist | 223 Kalamazoo St, East Lansing, MI 48824-5400 | 2019-09-24 |
| 1225534985 | Madison Lynne Nelson | Behavior Technician | 630 S Rancho Dr Ste A, Las Vegas, NV 89106-4849 | 2018-04-02 |
| Street Address |
2626 SAINT JOE CENTER RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073074571 | Melanie Blanchard | Occupational Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2019-03-27 |
| 1174123350 | Allison Slattery | Occupational Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-10-28 |
| 1073129599 | Stephanie Foss | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-09-21 |
| 1861003964 | Nichole Hall | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-08-12 |
| 1922618453 | Hailee Jofs | Speech-Language Pathologist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-08-10 |
| 1053921478 | Kayla Deaton | Occupational Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-08-01 |
| 1558970285 | Sara Hamoudah | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-07-29 |
| 1730798463 | Jessica Molina | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-07-29 |
| 1295344828 | Krystal Coronado | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-07-29 |
| 1164030128 | Abigail Holbrook | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| 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 |
|---|---|---|---|---|
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1306480603 | Linda Niedermeyer Okleshen | Developmental Therapist | 8413 Hunters Knoll Run, Fort Wayne, IN 46825-6406 | 2019-10-30 |
| 1447804109 | Ann Elisabeth Slen | Developmental Therapist | 1913 Omee Ct, Fort Wayne, IN 46815-7961 | 2019-07-30 |
| 1497067961 | Kelly Dawn Burke | Developmental Therapist | 6721 Clovercrest Dr, Fort Wayne, IN 46815-5403 | 2010-07-12 |
| 1679714661 | Melissa Lynn Kiser | Developmental Therapist | 826 Ridgewood Dr, Apt 1, Fort Wayne, IN 46805-1343 | 2009-03-20 |
| 1912165473 | Lori Rachel Brown | Developmental Therapist | 1302 Valdosta Dr, Fort Wayne, IN 46825-3526 | 2008-05-30 |
| 1023131448 | Donna Driscoll | Developmental Therapist | 5216 Lawford Ln, Fort Wayne, IN 46815-5131 | 2007-04-09 |
| 1215058268 | Julia Rose Rusk | Developmental Therapist | 226 N Seminole Cir, Fort Wayne, IN 46807-2865 | 2007-04-03 |
| 1073129599 | Stephanie Foss | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-09-21 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.