TERESA DIANNE MCCORKLE


Address: 52 Bragg Ave, Munfordville, KY 42765-9222
Phone: 2705373693

TERESA DIANNE MCCORKLE (NPI# 1861982332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861982332
Entity Type Individual
Full Name TERESA DIANNE MCCORKLE
Practice Address 52 Bragg Ave
Munfordville
KY 42765-9222
Practice Telephone 2705373693
Practice Fax Number 8446884227
Mailing Telephone 2705373693
Mailing Fax Number 8446884227
Enumeration Date 2018-05-10
Last Update Date 2018-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 52 BRAGG AVE
City MUNFORDVILLE
State KY
Zip Code 42765-9222

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174132997 All Smiles Therapy, LLC Speech-Language Pathologist 114 W Union Street, Munfordville, KY 42765 2020-07-28
1922385129 Wanda Sexton Counselor 103 E. South St., Munfordville, KY 42765 2011-11-16
1215217328 Brandy Gayle Pierce Registered Nurse 117 West South St., Munfordville, KY 42765 2011-08-19
1447588488 Jackie A. Pandeya Nurse Practitioner 950 Main St., Munfordville, KY 42765 2009-12-03
1295955961 Jill Lynn Humphrey Speech-Language Pathologist 3316 Macon Kessinger Rd, Munfordville, KY 42765 2007-04-26
1790801694 Christina L Johns Counselor 118 West Union St., Munfordville, KY 42765 2007-03-22
1083741326 Louisville Optometric Center, IIi, Psc Optometrist 815 Main St., Munfordville, KY 42765 2007-02-27
1245365527 Anastasia Stacy Wyatt Counselor 118 West Union Street, Munfordville, KY 42765 2007-02-23
1306987847 Laura A Gaines Social Worker 118 West Union St, Munfordville, KY 42765 2007-02-09
1427015890 Hart County Ambulance Service,taxing District Ambulance 20 Ambulance Drive, Munfordville, KY 42765 2006-04-28
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073142790 Andrea Williams Developmental Therapist 50 Faith Ct Apt 12, Somerset, KY 42503-5887 2020-04-04
1396379194 Lori Allen Developmental Therapist 717 Carolyn St, Radcliff, KY 40160-1719 2020-03-02
1982237798 Nicole Teann Fossier Developmental Therapist 220 Blake Way, Mt. Sterling, KY 40353 2020-02-20
1669002598 Darlene King Developmental Therapist 11314 Breeze Cir Unit 203, Louisville, KY 40272-4570 2020-01-20
1194365494 Ruthann Smith Developmental Therapist 398 Rebecca Ann Ct, Elizabethtown, KY 42701-4333 2020-01-14
1437799301 Lauren Hughes Developmental Therapist 4736 Sardis Rd, Mount Olivet, KY 41064-7636 2020-01-08
1336788306 Hillary Brown Developmental Therapist 150 Hickory Dr, Madisonville, KY 42431-5843 2019-12-23
1730727330 Megan Cantrell Developmental Therapist 6441 South Hwy, Salt Lick, KY 40371 2019-12-13
1417595059 Lauren Ashley Creech Developmental Therapist 5617 Chestnutwood Way, Louisville, KY 40272-5007 2019-12-13
1285272039 Beth Mccord Developmental Therapist 5028 Main St, Mayslick, KY 41055-8725 2019-12-11
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Competitor

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City MUNFORDVILLE
Zip Code 42765

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Dataset Information

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.

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