MRS. JULIA ROSE RUSK (NPI# 1215058268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215058268 |
| Entity Type | Individual |
| Full Name | MRS. JULIA ROSE RUSK |
| Practice Address |
226 N Seminole Cir Fort Wayne IN 46807-2865 |
| Practice Telephone | 2607607746 |
| Practice Fax Number | 2604567746 |
| Mailing Telephone | 2607607746 |
| Mailing Fax Number | 2604567746 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| 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 |
| Street Address |
226 N SEMINOLE CIR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46807-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
| 1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
| 1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
| 1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
| 1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
| 1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
| Find all providers in zip 46807 | ||||
| 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 |
|---|---|---|---|---|
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1306480603 | Linda Niedermeyer Okleshen | Developmental Therapist | 8413 Hunters Knoll Run, Fort Wayne, IN 46825-6406 | 2019-10-30 |
| 1447804109 | Ann Elisabeth Slen | Developmental Therapist | 1913 Omee Ct, Fort Wayne, IN 46815-7961 | 2019-07-30 |
| 1497067961 | Kelly Dawn Burke | Developmental Therapist | 6721 Clovercrest Dr, Fort Wayne, IN 46815-5403 | 2010-07-12 |
| 1679714661 | Melissa Lynn Kiser | Developmental Therapist | 826 Ridgewood Dr, Apt 1, Fort Wayne, IN 46805-1343 | 2009-03-20 |
| 1912165473 | Lori Rachel Brown | Developmental Therapist | 1302 Valdosta Dr, Fort Wayne, IN 46825-3526 | 2008-05-30 |
| 1023131448 | Donna Driscoll | Developmental Therapist | 5216 Lawford Ln, Fort Wayne, IN 46815-5131 | 2007-04-09 |
| 1073129599 | Stephanie Foss | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-09-21 |
| 1861003964 | Nichole Hall | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-08-12 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46807 |
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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.