MRS. KELLY CHURCHILL (NPI# 1144467101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144467101 |
| Entity Type | Individual |
| Full Name | MRS. KELLY CHURCHILL |
| Practice Address |
788 Cherry Tree Ct Hanover PA 17331-7901 |
| Practice Telephone | 7176325552 |
| Practice Fax Number | 7176322315 |
| Mailing Telephone | 7176325552 |
| Mailing Fax Number | 7176322315 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICAL ASSISTANCE | 1022393490001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538256375 | Kelly M Churchill | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2006-10-05 |
| Street Address |
788 CHERRY TREE CT |
| City | HANOVER |
| State | PA |
| Zip Code | 17331-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609901412 | Penncares | Voluntary or Charitable | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2007-02-22 |
| 1053658039 | Service Coordination of South Central Pa | Case Management | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2013-01-10 |
| 1356627194 | Tracey Kondrasuk-brander | Occupational Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2011-10-25 |
| 1740572536 | Amanda Christine Campbell | Speech-Language Pathologist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2011-05-11 |
| 1871802520 | Kelsey Lane | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-09-29 |
| 1225344633 | Tracey Downey | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-08-23 |
| 1013235944 | Kristin Coulson | Occupational Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-05-17 |
| 1154648145 | Tamara Shepherd | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-04-29 |
| 1538486527 | Shannon Lorusso | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-04-29 |
| 1346567336 | Stacy Ott | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1508421058 | National Vision Inc | Optometrist | 477 Eisenhower Drive, Hanover, PA 17331 | 2019-05-09 |
| 1225599830 | Tawney Nicole Angeloff | Registered Nurse | 1227 Baltimore Street, Hanover, PA 17331 | 2019-03-27 |
| 1851865000 | Hanh Pham-nguyen | Pharmacist | 260 Wilson Ave, Hanover, PA 17331 | 2019-01-21 |
| 1194251876 | Sam's East, Inc. | Technician/Technologist | 261 Wilson Ave, Hanover, PA 17331 | 2017-05-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1073914073 | Luana Robinson | Counselor | 36 Wappler Drive, Hanover, PA 17331 | 2014-09-09 |
| 1225467350 | Jennifer Marie Sherde | Specialist/Technologist | 250 Fame Avenue, Suite 100, Medical Fitness Center-hanover Hospital, Hanover, PA 17331 | 2013-11-08 |
| 1194078089 | Robyn Michelle Hess | Physician Assistant | 100 Eisenhower Dr, Hanover, PA 17331 | 2012-10-17 |
| 1134408453 | Heather L Hillson | Pharmacist | 31 Wilson Ave., T2567, Hanover, PA 17331 | 2011-08-04 |
| Find all providers in zip 17331 | ||||
| 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 |
|---|---|---|---|---|
| 1639317159 | Tammy Jo Lauffer | Developmental Therapist | 778 Cherry Tree Ct., Hanover, PA 17331-7901 | 2009-01-22 |
| 1265670780 | Meghan Leigh Williams | Developmental Therapist | 788 Cherry Tree Ct., Hanover, PA 17331-7901 | 2009-01-22 |
| 1871802520 | Kelsey Lane | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-09-29 |
| 1225344633 | Tracey Downey | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-08-23 |
| 1154648145 | Tamara Shepherd | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-04-29 |
| 1538486527 | Shannon Lorusso | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-04-29 |
| 1346567336 | Stacy Ott | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2010-04-29 |
| 1578892832 | Stacy Coffman | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2009-12-16 |
| 1023344512 | Kristine Plunkett | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2009-10-19 |
| 1225278807 | Diane Elizabeth Mello | Developmental Therapist | 788 Cherry Tree Ct, Hanover, PA 17331-7901 | 2009-02-23 |
| Find all providers in HANOVER | ||||
Please comment or provide details below to improve the information on MRS. KELLY CHURCHILL.
| 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.