COLLEEN LYSTON (NPI# 1043670789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043670789 |
| Entity Type | Individual |
| Full Name | COLLEEN LYSTON |
| Practice Address |
4445 Corporation Ln Ste 264 Virginia Beach VA 23462-3262 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 7576332633 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |
| 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 |
4445 CORPORATION LN STE 264 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831492263 | Ryan Gorman | Nurse Practitioner | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2010-12-07 |
| 1992306468 | Margaret Jeanette Hines | Day Training, Developmentally Disabled Services | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2020-11-02 |
| 1689289019 | R. R. Gorman, Np, LLC | Clinic/Center | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2020-09-11 |
| 1699388900 | Master Plan Therapy, LLC | Clinic/Center | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2020-08-26 |
| 1568096758 | Above and Beyond Aba Va LLC | Assistant Behavior Analyst | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2020-02-26 |
| 1962978783 | Meredith Routt | Registered Nurse | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2018-10-18 |
| 1821563214 | Amber Stoakley | Social Worker | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2018-10-11 |
| 1427418961 | Akilah Parker | Developmental Therapist | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2016-02-25 |
| 1437518149 | Daylynn Roberts | Developmental Therapist | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2016-02-23 |
| 1457710410 | Shawnte Hodges | Developmental Therapist | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2016-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1457701047 | Cynthia Martinez | Developmental Therapist | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2016-06-15 |
| 1487062030 | Jordan Mcgrath | Developmental Therapist | 2396 Wessington Dr, Virginia Beach, VA 23454-6308 | 2014-07-28 |
| 1609103936 | Center for Developmental Differences Inc | Developmental Therapist | 4000 Virginia Beach Blvd, Suite 136, Virginia Beach, VA 23452-1743 | 2009-11-06 |
| 1013557958 | Lisa Terry | Developmental Therapist | 913 First Colonial Rd Ste 204, Virginia Beach, VA 23454-3198 | 2020-01-08 |
| 1912455858 | Timeshiana Windley | Developmental Therapist | 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332 | 2016-09-20 |
| 1518415256 | Ticeses Teasley | Developmental Therapist | 780 Lynnhaven Pkwy, Suite 400, Virginia Beach, VA 23452-7332 | 2016-09-12 |
| 1689120099 | Jessica Renee Hodge | Developmental Therapist | 780 Lynnhaven Pkwy, Suite 400, Virginia Beach, VA 23452-7332 | 2016-08-27 |
| 1881148310 | Jaylene Siwallace | Developmental Therapist | 780 Lynnhaven Pkwy, Suite 400, Virginia Beach, VA 23452-7332 | 2016-08-13 |
| 1871047472 | Desiree Jenkins | Developmental Therapist | 780 Lynnhaven Pkwy, Suite 400, Virginia Beach, VA 23452-7332 | 2016-08-11 |
| 1447704119 | Ariel Wright | Developmental Therapist | 780 Lynnhaven Pkwy, 400, Virginia Beach, VA 23452-7332 | 2016-08-10 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on COLLEEN LYSTON.
| 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.