CHARLOTTE A MOORE (NPI# 1205016748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205016748 |
| Entity Type | Individual |
| Full Name | CHARLOTTE A MOORE |
| Practice Address |
126 Phoenix Ave Lowell MA 01852-4931 |
| Mailing Address |
11 Fairway Dr Apt 23 Derry NH 03038-8105 |
| Practice Telephone | 9784538331 |
| Mailing Telephone | 9784538331 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758920 | Charlotte Marie Moore | Audiologist | 2339 Irving St, Suite 200, San Francisco, CA 94122-1620 | 2007-05-14 |
| 1275512360 | Charlotte A Moore | Family Medicine | 1405 Kiln Creek Parkway, Ste K, Newport News, VA 23602 | 2006-01-17 |
| 1598158693 | Charlotte Moore | Nurse Practitioner | 13655 Riverport Dr, Maryland Hts, MO 63043-4812 | 2015-03-12 |
| 1194064659 | Charlotte Moore | Registered Nurse | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2013-02-04 |
| 1568737252 | Charlotte J Moore | Counselor | 5537 N Broadway St, Chicago, IL 60640-1405 | 2012-03-14 |
| 1073821963 | Charlotte A Moore | Counselor | 104 Crescent Dr, Lebanon, MO 65536-3301 | 2010-09-14 |
| 1457542524 | Charlotte Catherine Moore | Speech-Language Pathologist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-08-05 |
| 1255548061 | Charlotte Ann Moore | Physical Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2007-05-17 |
| 1336278670 | Charlotte Moore | Marriage & Family Therapist | 23 Masonic Ave, San Francisco, CA 94118-3417 | 2007-03-04 |
| 1740343201 | Charlotte D Moore | Counselor | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2006-12-18 |
| Street Address |
126 PHOENIX AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396771820 | Douglas A. Thom Clinic, Inc. | Clinic/Center | 126 Phoenix Ave, Building #2, Lowell, MA 01852-4931 | 2006-06-25 |
| 1750921300 | Anneke Marie Ball | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2020-01-12 |
| 1629618202 | Mary Cassidy Conway | Physical Therapist | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2020-01-10 |
| 1326687146 | Molly Ann Tibbetts | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2019-12-26 |
| 1194363267 | Elizabeth C Conner | Registered Nurse | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2019-12-19 |
| 1548815426 | Amy Troutt | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2019-08-07 |
| 1386115467 | Sara Quartochi-stanwood | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-12-16 |
| 1245705730 | Laura Ellen Schlueter | Developmental Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-10-10 |
| 1598249732 | Michaela Fahey | Speech-Language Pathologist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-09-24 |
| 1518446855 | Magdalena Skon | Registered Nurse | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| 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 |
|---|---|---|---|---|
| 1730739400 | Kristin Lynn Giroux | Developmental Therapist | 126 Phoenix Ave Ste 2, Lowell, MA 01852-4991 | 2019-09-16 |
| 1265091599 | Channtra Chea | Developmental Therapist | 11 Willie St Apt 1r, Lowell, MA 01854-4160 | 2019-06-11 |
| 1023536505 | Angie Pino Ortiz | Developmental Therapist | 210 Fletcher St, Lowell, MA 01854-4112 | 2017-09-05 |
| 1568907855 | Abner Joel Lopez | Developmental Therapist | 94 Adams St, Lowell, MA 01854-4217 | 2016-12-22 |
| 1598165169 | Robin Y Coughlan | Developmental Therapist | 126 Phoenix Avenue Bldg. 2, Thom Anne Sullivan Center Early Intervention Program, Lowell, MA 01852 | 2014-09-02 |
| 1407261324 | Donna Besse | Developmental Therapist | 413 Lincoln Ave Apt 2, Lowell, IN 46356-2370 | 2014-06-30 |
| 1457584278 | Jodie Ann Adawadkar | Developmental Therapist | 126 Phoenix Ave., Thom Anne Sullivan Center Eip, Lowell, MA 01852 | 2009-08-27 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1841474137 | Donna Gorman | Developmental Therapist | 126 Phoenix Ave # 2, Lowell, MA 01852-4931 | 2007-12-21 |
| 1275715104 | Sara B Franks | Developmental Therapist | 57 Alma St, Lowell, MA 01854-1703 | 2007-12-03 |
| Find all providers in LOWELL | ||||
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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.