MS. KIMBERLY NICOLE SHOCKLEY (NPI# 1083180384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083180384 |
Entity Type | Individual |
Full Name | MS. KIMBERLY NICOLE SHOCKLEY |
Credential | M.ED, DT |
Practice Address |
7478 Shadeland Station Way Indianapolis IN 46256-3925 |
Practice Telephone | 3172887606 |
Enumeration Date | 2018-10-15 |
Last Update Date | 2018-10-15 |
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 |
7478 SHADELAND STATION WAY |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46256-3925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063510303 | Jason Berty | Physical Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2006-09-20 |
1962018929 | Elizabeth Joy Stierwalt | Physical Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-09-16 |
1083228290 | Bethany Jane Montgomery | Speech-Language Pathologist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-09-04 |
1184237166 | Becca Maddigan | Speech-Language Pathologist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-08-28 |
1144830258 | Lesly Melissa Solares | Occupational Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-08-04 |
1780202507 | Katherine B Gibbons | Developmental Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-07-08 |
1831715580 | Caitlin Elizabeth Skinner | Developmental Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-06-18 |
1780219675 | Anna Elizabeth Gibbons | Occupational Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-03-11 |
1598399735 | Marianne Sergi | Occupational Therapist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-02-26 |
1841823481 | Erin Whipple | Speech-Language Pathologist | 7478 Shadeland Station Way, Indianapolis, IN 46256-3925 | 2020-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
Find all providers in zip 46256 |
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 |
---|---|---|---|---|
1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
1578113122 | Julia Kelle Mcmahon | Developmental Therapist | 8320 Flicker Ct, Indianapolis, IN 46237-9145 | 2019-09-16 |
1407405962 | Mackenzie Kasper | Developmental Therapist | 7308 Wood Duck Ct, Indianapolis, IN 46254-5818 | 2019-09-08 |
1639725336 | Bryce Greene | Developmental Therapist | 661 Barbados Dr, Indianapolis, IN 46227-2278 | 2019-08-18 |
1619530789 | Laurie Lynn Stark | Developmental Therapist | 1776 N Meridian St Ste 300, Indianapolis, IN 46202-1469 | 2019-04-15 |
1184182743 | Sherika Nichole Sultzer | Developmental Therapist | 3126 Shadow Brook Dr, Indianapolis, IN 46214-1903 | 2019-03-03 |
1033682349 | Debi Alexander | Developmental Therapist | 1427 Pittwood Dr, Indianapolis, IN 46240-1243 | 2019-01-09 |
1477026979 | Danyell S Smith | Developmental Therapist | 7012 Moon Ct, Indianapolis, IN 46241-3665 | 2019-01-07 |
1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
1104397462 | Renee Abigail Foor | Developmental Therapist | 1925 W 51st St, Indianapolis, IN 46228-2306 | 2018-12-16 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46256 |
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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.