JIM COOPER (NPI# 1033548367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033548367 |
| Entity Type | Individual |
| Full Name | JIM COOPER |
| Practice Address |
2404 E Empire St Bloomington IL 61704-3630 |
| Mailing Address |
507 E Armstrong Ave Peoria IL 61603-3201 |
| Practice Telephone | 3096638275 |
| Practice Fax Number | 3096627872 |
| Mailing Telephone | 3096638275 |
| Mailing Fax Number | 3096627872 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| 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 |
2404 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947974 | Debra Dietrich | Psychologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2007-06-05 |
| 1235785106 | Meghan Cotsones | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-08-15 |
| 1851858880 | Michelle Lynn Bognanno | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-02-26 |
| 1457817199 | Margaret Renee Jones | Social Worker | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-02-19 |
| 1386129864 | Hallie M Johnson | Behavioral Analyst | 2404 E Empire St, Bloomington, IL 61704-3630 | 2018-10-01 |
| 1336515022 | Amanda Gruber | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2015-08-17 |
| 1134427669 | Easter Seals | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2011-03-08 |
| 1801103528 | Erin Marlene Fabish | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2010-09-01 |
| 1972734861 | Jamie J Fifarek | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2009-07-27 |
| 1144492257 | Laurie Marie Jeans | Specialist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2008-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| 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 |
|---|---|---|---|---|
| 1952918757 | Alayna Kaye Gray | Developmental Therapist | 3825 S Woods Edge Bnd, Bloomington, IN 47401-8436 | 2020-09-25 |
| 1033615190 | Erin Lynne Edwards | Developmental Therapist | 1414 Bunn St, Bloomington, IL 61701-6921 | 2018-04-05 |
| 1487159364 | Madilyn Ann Lane | Developmental Therapist | 3113 Squall Way Apt 212, Bloomington, IL 61704-8495 | 2018-03-24 |
| 1457661431 | Jennifer Renee Mayer | Developmental Therapist | 9564 Ridgewood Ct, Bloomington, IL 61705-5351 | 2010-10-08 |
| 1063736643 | Maribeth Lartz | Developmental Therapist | 5 Inverness Dr, Bloomington, IL 61701-2047 | 2010-03-25 |
| 1528294352 | Katie Ann Hansen | Developmental Therapist | 305 S Regency Dr, #1, Bloomington, IL 61701-4343 | 2009-06-08 |
| 1144460189 | Lynn Corrie Irvin | Developmental Therapist | 1508 N Linden St, Bloomington, IL 61701-1942 | 2009-03-04 |
| 1801063045 | Bobbie Jh Leeds | Developmental Therapist | 413 E Mill St, Bloomington, IL 61701-5336 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413568 | Amy Rohan | Developmental Therapist | 17545 Mulberry Ave, Tinley Park, IL 60487-6163 | 2020-10-07 |
| 1992302954 | Vannetta C Thompson | Developmental Therapist | 2247 Gunderson Ave Apt 2, Berwyn, IL 60402-5147 | 2020-10-02 |
| 1477150506 | Quanita Crawford | Developmental Therapist | 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 | 2020-10-01 |
| 1740897412 | Angela Perry | Developmental Therapist | 521 Eden Park Dr, Rantoul, IL 61866-1507 | 2020-09-28 |
| 1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
| 1003429820 | Adrienne C Latronica | Developmental Therapist | 9865 Cordoba Ct Apt 2b, Orland Park, IL 60462-3190 | 2020-08-31 |
| 1669083424 | Lindsay Miner | Developmental Therapist | 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 | 2020-08-13 |
| 1851901672 | Gretchen Susanne Biggerstaff | Developmental Therapist | 1706 S Hancock St, Mc Leansboro, IL 62859-1996 | 2020-08-06 |
| 1205446549 | Rene Yvonne Green | Developmental Therapist | 14425 E Blue Ridge Dr, Effingham, IL 62401-7168 | 2020-08-02 |
| 1306455357 | Noel Elizabeth Ryall | Developmental Therapist | 9123 Baldwin Dr, Machesney Park, IL 61115-1715 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.