MRS. SARA MOORE (NPI# 1154737856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154737856 |
Entity Type | Individual |
Full Name | MRS. SARA MOORE |
Practice Address |
3727 Rose Lake Dr Charlotte NC 28217-2846 |
Mailing Address |
6635 Coral Rose Rd Charlotte NC 28277-3852 |
Practice Telephone | 7047787192 |
Mailing Telephone | 8477676566 |
Enumeration Date | 2014-07-02 |
Last Update Date | 2014-07-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | 000422615 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538309299 | Sara D Moore | Social Worker | 46 Sequoia Dr., Rochester, NY 14624-4523 | 2009-02-20 |
1013084144 | Sara Romansky Moore | Physical Therapist | 104 Maxwell Ave, Greenwood, SC 29646-2641 | 2006-11-30 |
1558321596 | Sara Alice Moore | Counselor | 2701 Cottage Way, Suite 19, Sacramento, CA 95825-1225 | 2006-03-24 |
1407856636 | Sara E. Moore | Nurse Practitioner | 1935 Medical Distric Drive, Advanced Practice Service, Dallas, TX 75235 | 2005-07-29 |
1134736341 | Sara Amalia Moore | Specialist/Technologist | 1 University Plz, Youngstown, OH 44555-3652 | 2020-09-30 |
1891323093 | Sara Moore | Psychiatry & Neurology | 3225 Shallowford Rd, Marietta, GA 30062-1266 | 2020-04-01 |
1104458868 | Sara Moore | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-10 |
1003450883 | Sara Matilda Moore | Behavior Technician | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2019-11-04 |
1487204558 | Sara Jane Moore | Nurse Practitioner | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2019-09-19 |
1326693342 | Sara Garland Moore | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2019-08-06 |
Street Address |
3727 ROSE LAKE DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28217-2846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083624274 | Lisa A Griffith | Occupational Therapist | 3727 Rose Lake Dr, Ste. 103, Charlotte, NC 28217-2846 | 2006-08-09 |
1548508484 | Julia E Teague | Occupational Therapist | 3727 Rose Lake Dr, Suite 103, Charlotte, NC 28217-2846 | 2013-01-28 |
1306180393 | Timothy Gerard Ruff Jr. | Occupational Therapist | 3727 Rose Lake Dr, Ste. 103, Charlotte, NC 28217-2846 | 2012-11-15 |
1437324134 | Arise and Shine Therapy, Inc. | Physical Therapist | 3727 Rose Lake Dr, Ste. 103, Charlotte, NC 28217-2846 | 2008-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
Find all providers in zip 28217 |
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 |
---|---|---|---|---|
1316291263 | Khrysys Yovanka Mason | Developmental Therapist | 5019 Stone Park Dr, Charlotte, NC 28269-7362 | 2012-10-30 |
1316213846 | Tiffany King | Developmental Therapist | 3000 Latrobe Dr, Charlotte, NC 28211-5226 | 2012-03-29 |
1568733186 | Diane Louise Parker | Developmental Therapist | 2709 Commonwealth Avenue, Apartment 21, Charlotte, NC 28205 | 2012-01-13 |
1245479195 | Nithya Susan Pulimood | Developmental Therapist | 4201 Stourton Ln, Charlotte, NC 28226-2611 | 2009-02-17 |
1497993760 | Lisa S Cook | Developmental Therapist | 5023 Peco Rd, Charlotte, NC 28277-3468 | 2009-01-26 |
1437322476 | Rebecca Plaisance | Developmental Therapist | 8615 Dennington Grove Ln, Charlotte, NC 28277-0280 | 2008-04-10 |
1811345143 | Jenifer Beckner | Developmental Therapist | 10926 S Tryon St Ste E, Charlotte, NC 28273 | 2016-05-26 |
1528344710 | Felicia A Washington | Developmental Therapist | 10926 S Tryon St Ste E, Charlotte, NC 28273-4154 | 2011-11-01 |
1306083761 | Kimberly A Levy | Developmental Therapist | 3007 Simmon Tree Rd, Charlotte, NC 28270-0676 | 2009-01-07 |
1922245380 | Audrey Pearlman | Developmental Therapist | 3007 Simmon Tree Rd, Charlotte, NC 28270-0676 | 2009-01-07 |
Find all providers in CHARLOTTE |
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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.