AUTUMN POPE (NPI# 1053777367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053777367 |
Entity Type | Individual |
Full Name | AUTUMN POPE |
Practice Address |
5 Bishop Ln Conway AR 72032-8624 |
Practice Telephone | 2248560285 |
Enumeration Date | 2016-01-04 |
Last Update Date | 2016-01-04 |
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 |
5 BISHOP LN |
City | CONWAY |
State | AR |
Zip Code | 72032-8624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
Find all providers in zip 72032 |
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 |
---|---|---|---|---|
1679969216 | Kickstart Pediatric Therapy LLC | Developmental Therapist | 2920 Glohaven Dr, Conway, AR 72034-9656 | 2015-04-10 |
1184176737 | Cindy Lowe | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2016-10-31 |
1326497439 | Lance Nail | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2016-06-09 |
1225482045 | Rebecca Hansen | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2016-04-18 |
1013303247 | C & J Therapy Providers, Inc | Developmental Therapist | 10 Morningside Dr, Conway, AR 72034-3619 | 2015-04-14 |
1952617219 | Leigh Haynes | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2010-08-25 |
1043531650 | Damara Willcutt | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2010-06-17 |
1265759617 | Lisette Belhumeur | Developmental Therapist | 71 Hobbs St, Suite 102, Conway, NH 03818-8109 | 2010-04-26 |
1558595876 | Sara Bradley | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2009-05-14 |
1720212046 | Gina Fox | Developmental Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2009-05-14 |
Find all providers in CONWAY |
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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.