MS. TRACY BREAU (NPI# 1003098054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003098054 |
| Entity Type | Individual |
| Full Name | MS. TRACY BREAU |
| Practice Address |
1269 Main St Concord MA 01742-3099 |
| Mailing Address |
47 Soley St Charlestown MA 02129-3310 |
| Practice Telephone | 9782877800 |
| Enumeration Date | 2007-12-02 |
| Last Update Date | 2007-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1269 MAIN ST |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578589982 | Denise Marie Lynch | Occupational Therapist | 1269 Main St, Concord, MA 01742-3099 | 2006-07-15 |
| 1619510823 | Aynsley Maureen Wedge | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2019-10-21 |
| 1942841234 | Julie Dumont | Occupational Therapist | 1269 Main St, Concord, MA 01742-3099 | 2019-10-08 |
| 1659922672 | Karen Adriano | Speech-Language Pathologist | 1269 Main St, Concord, MA 01742-3099 | 2019-09-20 |
| 1750941969 | Aliza Jane Murray | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2019-06-19 |
| 1437713518 | Sara Gladu | Occupational Therapist | 1269 Main St, Concord, MA 01742-3099 | 2019-04-24 |
| 1942760830 | Allyson Morgan Farren | Occupational Therapist | 1269 Main St, Concord, MA 01742-3099 | 2019-03-25 |
| 1437618030 | Karen Benyo | Speech-Language Pathologist | 1269 Main St, Concord, MA 01742-3099 | 2019-03-14 |
| 1871067256 | Denise J Kinney | Behavioral Analyst | 1269 Main St, Concord, MA 01742-3099 | 2019-01-18 |
| 1821562836 | Erin Buckley Nichols | Registered Nurse | 1269 Main St, Concord, MA 01742-3099 | 2019-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| 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 |
|---|---|---|---|---|
| 1851686976 | Elizabeth J Keane | Developmental Therapist | 54 West St, Concord, MA 01742-2945 | 2011-06-16 |
| 1619510823 | Aynsley Maureen Wedge | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2019-10-21 |
| 1750941969 | Aliza Jane Murray | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2019-06-19 |
| 1124504709 | Alicia Cohen | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2018-07-17 |
| 1366961344 | Kerry Dayton Lewis | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2017-09-12 |
| 1063895316 | Shannon Hurley | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2015-07-06 |
| 1669864906 | Rebecca Bregman | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2015-02-24 |
| 1538571260 | Mollie Stolzer | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2014-05-29 |
| 1154740603 | Deborah Towne | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2014-04-14 |
| 1831520816 | Lynne Volz | Developmental Therapist | 1269 Main St, Concord, MA 01742-3099 | 2013-12-02 |
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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.