AMANDA SULLIVAN (NPI# 1023560091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023560091 |
| Entity Type | Individual |
| Full Name | AMANDA SULLIVAN |
| Practice Address |
3840 Hulen St Fort Worth TX 76107-7277 |
| Practice Telephone | 8175694300 |
| Mailing Telephone | 8175694300 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275878183 | Amanda J Sullivan | Physical Therapy Assistant | 71 Millard Rd, North Attleboro, MA 02760-4407 | 2012-12-04 |
| 1912291436 | Amanda Sullivan | Licensed Practical Nurse | 364 Lake Marie Rd, Liberty, NY 12754-2924 | 2011-06-01 |
| 1750613576 | Amanda K Sullivan | Speech-Language Pathologist | 9307 N 3rd Dr, Phoenix, AZ 85021-3555 | 2010-02-03 |
| 1447483458 | Amanda L Sullivan | Counselor | 770 N Cotner Blvd Ste 330, Lincoln, NE 68505-2377 | 2009-08-25 |
| 1447208491 | Amanda Clare Sullivan | Acupuncturist | 5 Bon Air Rd Ste 109, Larkspur, CA 94939-1137 | 2006-05-04 |
| 1730141151 | Amanda Leigh Sullivan | Specialist/Technologist | 8229 Clayton Rd, Suite 204, Saint Louis, MO 63117-1155 | 2006-04-03 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1851941280 | Amanda Sullivan | Counselor | 74 East St, Plainville, CT 06062-2367 | 2019-09-17 |
| 1033766415 | Amanda Anne Sullivan | Pharmacist | 801 E Sunset Dr, Waukesha, WI 53189-7816 | 2019-08-21 |
| 1386207462 | Amanda Sullivan | Occupational Therapist | 6811 Campfield Rd, Baltimore, MD 21207-4657 | 2019-04-15 |
| Street Address |
3840 HULEN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-7277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720044712 | Lynne C Pompetti | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2006-04-26 |
| 1972104768 | Angelica Pineda | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-11-06 |
| 1912507229 | Cassandra Marie Demora | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-10-27 |
| 1306444781 | Shaleese Rockett | Social Worker | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-10-16 |
| 1730795907 | Tyler Macdonell | Physical Therapist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-22 |
| 1366058521 | Dawnita West | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-22 |
| 1447866181 | Rachel Sotelo | Speech-Language Pathologist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-18 |
| 1912513912 | Emily Bourget | Speech-Language Pathologist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-16 |
| 1114533130 | Olufunke Jinadu | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-09-16 |
| 1760093173 | Martina M Silva | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| 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 |
|---|---|---|---|---|
| 1851688634 | Sara C Deleon | Developmental Therapist | 4620 Leeward Ln, Apt 617, Fort Worth, TX 76135-2573 | 2011-06-30 |
| 1659813772 | Amberlee Murphree | Developmental Therapist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2016-11-07 |
| 1750833737 | Jennifer Cox | Developmental Therapist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2016-10-26 |
| 1316499304 | Vandana Patel | Developmental Therapist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2016-10-26 |
| 1366994337 | Melissa Wooldridge | Developmental Therapist | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518575869 | Angels United Home Care LLC | Developmental Therapist | 2417 Anton Dr, Forney, TX 75126-2440 | 2020-07-22 |
| 1497398952 | Corina Josette Ryba | Developmental Therapist | 24124 Cinco Village Center Blvd Ste 200, Katy, TX 77494-8389 | 2019-10-28 |
| 1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
| 1376074831 | Johnny Lewis | Developmental Therapist | 4228 Boxwood Dr, Balch Springs, TX 75180-3626 | 2017-03-24 |
| 1316497324 | Matthew Gibbs | Developmental Therapist | 2110 E State Highway 36, Abilene, TX 79602-6504 | 2016-10-13 |
| 1245787050 | Elanore Walsh | Developmental Therapist | 3974 Wilshire Dr, Abilene, TX 79603-4113 | 2016-09-09 |
| 1548717200 | Jordan Purifoy | Developmental Therapist | 759 E North 13th St, Abilene, TX 79601-3830 | 2016-09-09 |
| 1962959841 | Simone Deloach | Developmental Therapist | 5125 Fairmont St Apt 1422, Abilene, TX 79605-3583 | 2016-09-08 |
| 1033666250 | Jean Dotson | Developmental Therapist | 47 Hoylake Dr, Abilene, TX 79606-5127 | 2016-09-06 |
| 1144776378 | Johanna Rojas Hidalgo | Developmental Therapist | 100 Congress Avenue, Suite 2000, Austin, TX 78701 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.