SHONDA M GADBERRY (NPI# 1811418973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811418973 |
| Entity Type | Individual |
| Full Name | SHONDA M GADBERRY |
| Credential | DT |
| Practice Address |
500 E 3rd St Russellville AR 72801-5204 |
| Mailing Address |
1915 W Main St Russellville AR 72801-2725 |
| Practice Telephone | 4799685048 |
| Practice Fax Number | 4799685048 |
| Mailing Telephone | 4799681198 |
| Mailing Fax Number | 4799671178 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 200209778 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1915 W Main St, Russellville, AR 728012725 | (479) 968-1198 | 4799671178 |
| Street Address |
500 E 3RD ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316974793 | Jodi Lynne Kusturin | Physical Medicine & Rehabilitation | 500 E 3rd St, Russellville, AR 72801-5204 | 2006-06-28 |
| 1760036537 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 500 E 3rd St, Russellville, AR 72801-5204 | 2019-07-30 |
| 1952873275 | Karmen Danielle Goodner | Registered Nurse | 500 E 3rd St, Russellville, AR 72801-5204 | 2018-12-27 |
| 1396217618 | Ryan Patrick Goodner | Registered Nurse | 500 E 3rd St, Russellville, AR 72801-5204 | 2018-12-27 |
| 1700335874 | Jordyn Brill | Occupational Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2016-09-29 |
| 1043769110 | Allison Young | Physical Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2016-09-29 |
| 1295284438 | Alexandria Lee | Occupational Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2016-09-29 |
| 1245783984 | Heather Newcom | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2016-07-29 |
| 1346601002 | Peggy Pfeifer | Registered Nurse | 500 E 3rd St, Russellville, AR 72801-5204 | 2016-03-09 |
| 1962862136 | Alicia Mcphail | Licensed Practical Nurse | 500 E 3rd St, Russellville, AR 72801-5204 | 2016-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| 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 |
|---|---|---|---|---|
| 1306480645 | Kristen Johnston | Developmental Therapist | 1301 Russell Rd, Russellville, AR 72802-4320 | 2019-10-30 |
| 1912492802 | Emory Molitor | Developmental Therapist | 1915 W Main St, Russellville, AR 72801-2725 | 2018-06-25 |
| 1558819375 | Janice Patton | Developmental Therapist | 503 E 3rd St, Russellville, AR 72801-5244 | 2016-09-21 |
| 1245783984 | Heather Newcom | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2016-07-29 |
| 1912382920 | Heather Skowron | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2015-07-21 |
| 1164806378 | Rebecca Reynolds | Developmental Therapist | 1915 W Main St, Russellville, AR 72801-2725 | 2015-07-17 |
| 1245652494 | Tiffany Marie Hill | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2014-01-07 |
| 1932520178 | Mary Wade | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2013-12-13 |
| 1285907477 | Recovery Zone Pediatric Therapy, Inc | Developmental Therapist | 306 E 11th St, Russellville, AR 72801-6156 | 2012-02-17 |
| 1417087131 | Abc Children's Academy | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2007-03-06 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on SHONDA M GADBERRY.
| 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.