MRS. ELLEN A FORTIN (NPI# 1144401407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144401407 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN A FORTIN |
| Credential | ED. CEIS |
| Practice Address |
38 Marjac Rd Mansfield MA 02048-3448 |
| Practice Telephone | 5083399795 |
| Mailing Telephone | 5083399795 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| 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 |
38 MARJAC RD |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| 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 |
|---|---|---|---|---|
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527090 | Kelsey Pomare Deschene | Developmental Therapist | 22 Currier Ave, Haverhill, MA 01830-6441 | 2020-10-29 |
| 1063012243 | Megan Alicia Harty | Developmental Therapist | 183 I St, Boston, MA 02127-4049 | 2020-10-28 |
| 1255939971 | Myriame Germain | Developmental Therapist | 74 Highcrest Rd, Roslindale, MA 02131-4824 | 2020-10-14 |
| 1659988202 | Jordan Taylor Clauson | Developmental Therapist | 300 E Main St Ste 104, Milford, MA 01757-2806 | 2020-09-28 |
| 1659905248 | Adrienne Nicole Wilson | Developmental Therapist | 15 Atherton Rd Apt 1, Brookline, MA 02446-2770 | 2020-02-24 |
| 1144853920 | Jamie Saunders | Developmental Therapist | 77 Gravel Bank Rd, Clarksburg, MA 01247-9731 | 2020-02-19 |
| 1164060612 | Shelby Morgan Johnson | Developmental Therapist | 11 Argyle St, Andover, MA 01810-2706 | 2019-12-16 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1245875376 | Courtney Rose Bird | Developmental Therapist | 87 Orchard St, Adams, MA 01220-2324 | 2019-11-13 |
| Find all providers with the same taxonomy | ||||
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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.