SANDRA MOORE (NPI# 1962861039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962861039 |
| Entity Type | Individual |
| Full Name | SANDRA MOORE |
| Practice Address |
500 Fairway Dr. Suite 102 Deerfield Beach FL 33441 |
| Mailing Address |
500 Fairway Dr Suite 102 Deerfield Bch FL 33441-1814 |
| Practice Telephone | 8888809270 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
| 1942701826 | Sandra Moore | Licensed Practical Nurse | 48 Huntley Rd, Elmont, NY 11003-1407 | 2018-02-26 |
| 1083038350 | Sandra Moore | Occupational Therapist | Psc 76 Box 263, 65th Med Group/sgh, Apo, AE 09720-0003 | 2014-02-07 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1073767232 | Sandra Smith Moore | Physical Therapist | 3915 Puckett Creek Xing, E823, Murfreesboro, TN 37128-4260 | 2008-11-13 |
| 1790906741 | Sandra C Moore | Pharmacist | 160 N Post Rd, West Windsor, NJ 08550-5003 | 2007-05-01 |
| 1023135886 | Sandra Moore | Licensed Practical Nurse | 130 Preserve Dr, Royal Palm Beach, FL 33411-1569 | 2007-03-24 |
| 1881725802 | Sandra Evette Moore | Social Worker | 2506 Lesh Ct, Crofton, MD 21114-3221 | 2007-03-08 |
| 1396804167 | Sandra Moore | Nurse Practitioner | Of State 2401 E St Nw, M Med Qi, Sa 1, Washington, DC 20522-0001 | 2006-12-08 |
| 1285725523 | Sandra J Moore | Chiropractor | 1971 Holton Rd, Suite B, North Muskegon, MI 49445-1698 | 2006-09-28 |
| Street Address |
500 FAIRWAY DR. SUITE 102 |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013346055 | Annie N Campbell | Developmental Therapist | 500 Fairway Dr., Ste. 102, Butterfly Effects LLC, Deerfield Beach, FL 33441-1814 | 2013-11-08 |
| 1093235384 | Veronica Valery | Behavior Technician | 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2017-06-27 |
| 1255783478 | Summer Reece | Developmental Therapist | 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2016-07-12 |
| 1306218912 | Jozett Alicia Wilson | Developmental Therapist | 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2015-10-22 |
| 1376921379 | Cara Yetz | Developmental Therapist | 500 Fairway Dr., Butterfly Effects LLC, Ste. 102, Deerfield Beach, FL 33441 | 2015-05-11 |
| 1811387400 | Carolann Cocita | Developmental Therapist | 500 Fairway Dr., Ste 102, Deerfield Beach, FL 33441 | 2015-02-03 |
| 1225427263 | Alexandra Lequerica | Developmental Therapist | 500 Fairway Dr., Ste. 102 Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2015-01-14 |
| 1952707325 | Sylvia New | Developmental Therapist | 500 Fairway Dr., Ste. 102, Deerfield Beach, FL 33441 | 2014-11-13 |
| 1023427903 | Sarahbeth Eumont | Developmental Therapist | 500 Fairway Dr., Ste. 102 Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2014-08-05 |
| 1326453580 | Elizabeth Smith | Developmental Therapist | 500 Fairway Dr., Ste. 102 Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808639 | Rosys Paula | Family Medicine | 1100 Us-1, Deerfield Beach, FL 33441 | 2020-10-14 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1699335398 | Stephanie Palma | Behavior Technician | 500 Fairway Dr, Suite 102 Deerfield Beach, Fl 33441, Deerfield Beach, FL 33441 | 2019-06-17 |
| 1447813043 | Cassidy Burke | Behavior Technician | Butterfly Effects LLC. 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2019-04-18 |
| 1417447715 | Nicola Rotoli | Massage Therapist | 2806a Sw Natura Nlvd, Unit A, Deerfield Beach, FL 33441 | 2018-05-14 |
| 1669998076 | Tellus LLC | Home Health | 800 Fairway Dr #360, Deerfield Beach, FL 33441 | 2017-08-17 |
| 1699204958 | Christine Angelo | Behavior Technician | 500 Fairway Dr.suite 102, Deerfield Beach, FL 33441 | 2017-06-08 |
| 1053848705 | Coqui Medical Specialties | Durable Medical Equipment & Medical Supplies | 832 S.e. 8th Avenue, Deerfield Beach, FL 33441 | 2017-05-12 |
| 1114462082 | Christopher Gamboa | Physician Assistant | 1000 E Hillsboro Blvd Ste 102, Deerfield Beach, FL 33441 | 2016-12-30 |
| 1871041285 | Erica Etienne | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 33441 | 2016-09-14 |
| Find all providers in zip 33441 | ||||
| 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 |
|---|---|---|---|---|
| 1184146474 | Jacqueline M Barroso | Developmental Therapist | 560 Jefferson Dr Unit 102, Deerfield Beach, FL 33442-9475 | 2017-07-09 |
| 1659815843 | Jenny Johnston | Developmental Therapist | 1863 Discovery Dr, Deerfield Beach, FL 33442-1000 | 2016-12-07 |
| 1578923793 | Shannon Russell | Developmental Therapist | 500 Fairway Dr Ste 120, Deerfield Beach, FL 33441-1814 | 2016-03-01 |
| 1053785329 | Tiffany Williams | Developmental Therapist | 500 Fairway Dr. Suite 102, Deerfield Beach, FL 33441 | 2015-11-24 |
| 1063899599 | Karissa Preudhomme | Developmental Therapist | 735 Tivoli Cir, Apt 201, Deerfield Beach, FL 33441-8112 | 2015-05-05 |
| 1215314604 | Angela Alvarez | Developmental Therapist | 500 Fairway Dr., Butterfly Effects LLC, 102, Deerfield Beach, FL 33441-1817 | 2015-05-05 |
| 1831576222 | Martha Medina | Developmental Therapist | 500 Fairway Dr. Ste. 102, Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2015-05-05 |
| 1295122604 | Yvette Bachmeyer | Developmental Therapist | 500 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1819 | 2015-04-23 |
| 1972997468 | Stacey Marie Martin | Developmental Therapist | 500 Fairway Dr.ste.102, Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2015-03-24 |
| 1790176923 | Antijaunne Smith | Developmental Therapist | 500 Fairway Dr Ste 200, Deerfield Beach, FL 33441-1814 | 2015-02-10 |
| Find all providers in DEERFIELD BEACH | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33441 |
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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.