MARISA BORRECA (NPI# 1134656887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134656887 |
Entity Type | Individual |
Full Name | MARISA BORRECA |
Practice Address |
811 W Evergreen Ave Suite 404 Chicago IL 60642-2682 |
Practice Telephone | 3122421665 |
Mailing Telephone | 3122421665 |
Enumeration Date | 2017-05-12 |
Last Update Date | 2017-05-12 |
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 |
811 W EVERGREEN AVE SUITE 404 |
City | CHICAGO |
State | IL |
Zip Code | 60642-2682 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285802025 | Depaul Family & Community Services | Clinic/Center | 811 W Evergreen Ave, 102a, Chicago, IL 60622-2682 | 2008-02-14 |
1740752690 | Carol Brod | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-12-17 |
1053886796 | Erin Nicole Kooiker | Physical Therapy Assistant | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-10-09 |
1669906731 | Gabrielle Kirk | Occupational Therapist | 811 W Evergreen Ave, Unit 404, Chicago, IL 60642-7113 | 2017-04-17 |
1588115174 | Cara Mcgarry | Speech-Language Pathologist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-18 |
1508316316 | Morgan Jana Ahluwalia | Physical Therapist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-05 |
1275986382 | Sabrina Gimenez | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-07-13 |
1992150254 | Rachel Amanda Holowicki | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-04-25 |
1821468513 | Aislynn Gallagher | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2015-10-07 |
1902281405 | Katherine Murphy Beck | Speech-Language Pathologist | 811 W Evergreen Ave, Suite 306, Chicago, IL 60642-2682 | 2015-07-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
Find all providers in zip 60642 |
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 |
---|---|---|---|---|
1477150506 | Quanita Crawford | Developmental Therapist | 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 | 2020-10-01 |
1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
1669083424 | Lindsay Miner | Developmental Therapist | 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 | 2020-08-13 |
1841818663 | Lauren Lansdale | Developmental Therapist | 1322 S Prairie Ave Unit 1709, Chicago, IL 60605-3085 | 2020-07-08 |
1598382822 | Tiffany L Lewis | Developmental Therapist | 1648 S Kedvale Ave, Chicago, IL 60623-2732 | 2020-07-02 |
1992322572 | Brittany Hampton | Developmental Therapist | 25 E 123rd St, Chicago, IL 60628-6818 | 2020-06-30 |
1730705427 | Emma Weitzel | Developmental Therapist | 3450 N Lake Shore Dr Apt 311, Chicago, IL 60657-2855 | 2020-06-18 |
1467077156 | Tracee Hawthorne | Developmental Therapist | 1730 N Clark St Apt 2510, Chicago, IL 60614-5890 | 2020-06-09 |
1366067001 | Adriane A Harris | Developmental Therapist | 4824 S Champlain Ave Apt 3, Chicago, IL 60615-1541 | 2020-06-09 |
1023631892 | Sophia Zilles | Developmental Therapist | 6415 N Sheridan Rd Apt 207, Chicago, IL 60626-5301 | 2020-05-27 |
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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.