MS. JEAN FRANCES PETERSON (NPI# 1073634994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073634994 |
Entity Type | Individual |
Full Name | MS. JEAN FRANCES PETERSON |
Credential | MS, CDS |
Practice Address |
2400 N Rockton Ave Rockford IL 61103-3655 |
Practice Telephone | 8159715184 |
Practice Fax Number | 8159719860 |
Mailing Telephone | 8159715184 |
Mailing Fax Number | 8159719860 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | 222Q00000X | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043763386 | Jean Marie Peterson | Nurse Practitioner | Stony Brook Medicine, Hsc Dept of Urology Room 040 Level 9, Stony Brook, NY 11794-8093 | 2016-08-03 |
1295804193 | Jean B. Peterson | Social Worker | 22 Bayview Ave, Stonington, CT 06378-1142 | 2006-11-06 |
Street Address |
2400 N ROCKTON AVE |
City | ROCKFORD |
State | IL |
Zip Code | 61103-3655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457357592 | Michael J Kikta | Surgery | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2005-06-23 |
1053950055 | Tina Longphee | Registered Nurse | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-12-23 |
1598227407 | Shahid Mohammad | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-04-01 |
1265993109 | Sarah Elaine Robertson | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-03-25 |
1770042525 | Vinita Patel | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-03-19 |
1255890646 | Gilda Djabarzade | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2019-03-15 |
1285103002 | Amy Lask | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-11-21 |
1477038743 | Michelle Harris | Advanced Practice Midwife | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-10-02 |
1134603095 | Sarah R Linder | Nurse Practitioner | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-09-17 |
1376022350 | Atiq Urrehman Khan | Psychiatry & Neurology | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2018-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
Find all providers in zip 61103 |
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 |
---|---|---|---|---|
1407417397 | Christine Criel | Developmental Therapist | 422 Vale Ave N, Rockford, IL 61107-4652 | 2019-06-22 |
1285194712 | Corneilia L Ervins | Developmental Therapist | 5225 Linden Rd Apt 7207, Rockford, IL 61109-6419 | 2019-03-21 |
1417461906 | Kaetlin Lindsey Romberg | Developmental Therapist | 6820 Madrone Dr, Rockford, MI 49341-9578 | 2017-11-21 |
1194172932 | Emily Dyson | Developmental Therapist | 3425 Oak Grove Ave, Rockford, IL 61108-1856 | 2016-05-23 |
1326492653 | Dawn Davis | Developmental Therapist | 2650 Springdale Dr, Rockford, IL 61114-6452 | 2016-04-23 |
1699132043 | Jennifer Anders | Developmental Therapist | 2140 Eggleston Rd, Rockford, IL 61108-7908 | 2016-01-15 |
1699193417 | Jennifer Jean Rossol | Developmental Therapist | 4019 Latham St, Rockford, IL 61103-1628 | 2014-03-29 |
1821349861 | Colette Marie Rossi-luebke | Developmental Therapist | 4304 Tallwood Ave, Rockford, IL 61114-6053 | 2012-10-01 |
1972734648 | Nancy A Hunt | Developmental Therapist | 1131 Griggs Rd, Rockford, IL 61108-4582 | 2009-07-29 |
1134359086 | Mary Elizabeth Hunter | Developmental Therapist | 6475 Weaver Rd, Rockford, IL 61114-8109 | 2009-07-24 |
Find all providers in ROCKFORD |
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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.