MALLORY E CREEKMORE (NPI# 1811307671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811307671 |
| Entity Type | Individual |
| Full Name | MALLORY E CREEKMORE |
| Credential | M.ED |
| Practice Address |
9308 Northlake Pkwy 112 Orlando FL 32827-5734 |
| Practice Telephone | 4077011126 |
| Mailing Telephone | 4077011126 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| 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 |
9308 NORTHLAKE PKWY 112 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-5734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| 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 |
|---|---|---|---|---|
| 1740727080 | Shannon Grace Rutter | Developmental Therapist | 2608 E Church St, Orlando, FL 32803-6303 | 2017-01-25 |
| 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 |
| 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.