MS. BRAE W CARROLL (NPI# 1801124664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801124664 |
| Entity Type | Individual |
| Full Name | MS. BRAE W CARROLL |
| Practice Address |
1071 Carriage Hill Rd Melbourne FL 32940-6418 |
| Practice Telephone | 3217205083 |
| Mailing Telephone | 3217205083 |
| Enumeration Date | 2009-12-05 |
| Last Update Date | 2009-12-05 |
| 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 |
1071 CARRIAGE HILL RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
|---|---|---|---|---|
| 1053870857 | Jacquelynn Nichole Stansell | Developmental Therapist | 1877 Elkins Point Dr, Melbourne, FL 32935-4762 | 2019-03-19 |
| 1760832091 | Jodi Lynette Ortega | Developmental Therapist | 3762 Stream Dr, Melbourne, FL 32940-1101 | 2016-06-17 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1245644772 | Susan Maricle | Developmental Therapist | 1342 Cypress Trace Dr, Melbourne, FL 32940-1624 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1316554116 | Carley Alexandra Scartz-nisbet | Developmental Therapist | 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 | 2020-09-25 |
| 1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1750991188 | Kimberley Nunez | Developmental Therapist | 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 | 2020-07-31 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1851900922 | Nathalia Brown | Developmental Therapist | 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 | 2020-07-24 |
| 1053929752 | Jill Schnortz | Developmental Therapist | 484 Nw 232nd Ter, Newberry, FL 32669-2282 | 2020-07-20 |
| 1447868310 | Carleen Korkin | Developmental Therapist | 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. BRAE W CARROLL.
| 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.