SUSAN KIRK


Address: 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934
Phone: 2603381241

SUSAN KIRK (NPI# 1124503651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124503651
Entity Type Individual
Full Name SUSAN KIRK
Practice Address 4935 Hillegas Rd Ste 200
Fort Wayne
IN 46818-1934
Practice Telephone 2603381241
Mailing Telephone 2603381241
Enumeration Date 2018-10-01
Last Update Date 2018-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SUSAN KIRK

NPI Name Taxonomy Address Enumeration
1588707590 Susan E. Kirk Internal Medicine Uva Endocrinology, 415 Ray C. Hunt Drive, Charlottesville, VA 22903 2007-02-15
1154575561 Susan Edwinna Kirk Physician Assistant 6701 Fannin St, Bcm 320, Houston, TX 77030-2608 2008-11-12
1902960248 Susan J Kirk Speech-Language Pathologist Sunnyside Unified School District No 12, 2238 E Ginter Road, Tucson, AZ 95706 2006-12-21
1285737114 Susan Kirk Social Worker 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447 2006-09-06

Office Location

Street Address 4935 HILLEGAS RD STE 200
City FORT WAYNE
State IN
Zip Code 46818-1934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881734697 Possibilities Northeast, LLC. Psychologist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 2007-02-08
1629692405 Nicole Kuhn Physical Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2020-06-08
1659995769 Lauren Ashley Hampton Developmental Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2020-06-04
1720638406 Ashley Noelle Yoder Speech-Language Pathologist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-09-16
1477103463 Emalee Ann Reichenbach Physical Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-09-12
1801445424 Anna Marrah Developmental Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-09-06
1649826991 Allison Goepfrich Developmental Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-08-13
1982265385 Brittany Ormiston Occupational Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-06-26
1639735731 Marie Metzler Developmental Therapist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-05-14
1205391117 Mallory Shupe Speech-Language Pathologist 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 2019-02-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710464938 Heather Smith Day Training/Habilitation Specialist 9434 Lima Road, Suite C, Fort Wayne, IN 46818 2018-07-20
1184146748 Danielle Macias Speech-Language Pathologist 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 2017-07-14
1801326533 Kimberly M Kindt Optometrist 9426 Lima Rd Ste C, Fort Wayne, IN 46818 2017-06-15
1578983359 Sarah Buzzard Occupational Therapy Assistant 9426 Lima Road, A, Fort Wayne, IN 46818 2014-04-21
1306196704 Peter Yang Gaw Go Occupational Therapist 3406 Bluefield Place, Fort Wayne, IN 46818 2012-09-12
1043593536 Carol Lynn Steinbach Massage Therapist 12101 Hand Rd., Fort Wayne, IN 46818 2011-09-21
1295058071 Summit Nutrition Services, LLC Dietitian, Registered 3027 Mariposa Place, Fort Wayne, IN 46818 2010-03-08
1184871899 The Arc of Northeast Indiana, Inc Intermediate Care Facility, Mentally Retarded 9104 Strathmore Lane, Fort Wayne, IN 46818 2008-08-25
1285851121 Angela Coleman Dentist 10505 Lima Road, Fort Wayne, IN 46818 2007-04-20
1942335534 Angela S King Dentist 9019 Lima Road, Fort Wayne, IN 46818 2007-02-22
Find all providers in zip 46818

Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1306480603 Linda Niedermeyer Okleshen Developmental Therapist 8413 Hunters Knoll Run, Fort Wayne, IN 46825-6406 2019-10-30
1447804109 Ann Elisabeth Slen Developmental Therapist 1913 Omee Ct, Fort Wayne, IN 46815-7961 2019-07-30
1497067961 Kelly Dawn Burke Developmental Therapist 6721 Clovercrest Dr, Fort Wayne, IN 46815-5403 2010-07-12
1679714661 Melissa Lynn Kiser Developmental Therapist 826 Ridgewood Dr, Apt 1, Fort Wayne, IN 46805-1343 2009-03-20
1912165473 Lori Rachel Brown Developmental Therapist 1302 Valdosta Dr, Fort Wayne, IN 46825-3526 2008-05-30
1023131448 Donna Driscoll Developmental Therapist 5216 Lawford Ln, Fort Wayne, IN 46815-5131 2007-04-09
1215058268 Julia Rose Rusk Developmental Therapist 226 N Seminole Cir, Fort Wayne, IN 46807-2865 2007-04-03
1073129599 Stephanie Foss Developmental Therapist 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 2020-09-21
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46818

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Dataset Information

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.

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