MRS. SADRA RAE WEST (NPI# 1215247093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215247093 |
| Entity Type | Individual |
| Full Name | MRS. SADRA RAE WEST |
| Practice Address |
807 Thorn Creek Drive Joliet IL 60436 |
| Practice Telephone | 8154825902 |
| Mailing Telephone | 8154825902 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| 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 |
807 THORN CREEK DRIVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431345 | Tiffanie Mcnair | Nurse's Aide | 306 Romayne Ave, Joliet, IL 60436 | 2017-07-28 |
| 1366964215 | Pamela Coney | Licensed Practical Nurse | 916 Prairie Path Ln, Joliet, IL 60436 | 2017-07-12 |
| 1104375815 | Cynthia Sylvia | Licensed Practical Nurse | 211 S. Hunter Ave, Joliet, IL 60436 | 2016-09-23 |
| 1760804629 | Center for Disability Services | Day Training, Developmentally Disabled Services | 311 S Reed St, Joliet, IL 60436 | 2014-01-13 |
| 1033360136 | Tonya Hagenbaumer | Dietitian, Registered | 2025 S. Chicago Street, Joliet, IL 60436 | 2008-10-07 |
| 1699966051 | Kul Sood | General Practice | 95 S Chicago St, Joliet, IL 60436 | 2007-08-09 |
| 1053410407 | Yatin M Shah Md Sc | Medical Genetics, Ph.D. Medical Genetics | 2025 S Chicago Street, Joliet, IL 60436 | 2006-09-22 |
| 1821103755 | Victoria L Mancke | Nurse Practitioner | 2025s Chicago St, Joliet, IL 60436 | 2006-08-20 |
| 1790750412 | Maria L Ramirez | Occupational Therapist | 709 Margaret St, Rockdale, IL 60436 | 2006-02-17 |
| 1780872788 | Kimberly Ann Mulligan | Physician Assistant | 2025 S Chicago St, Joliet, IL 60436 | 2007-10-04 |
| Find all providers in zip 60436 | ||||
| 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 |
|---|---|---|---|---|
| 1104470160 | Michelle Evans | Developmental Therapist | 602 Silver Creek Dr, Joliet, IL 60431-8340 | 2019-07-29 |
| 1629538210 | Morgan Ashley Foreman | Developmental Therapist | 1107 Glenwood Ave, Joliet, IL 60435-5959 | 2019-03-21 |
| 1770970477 | Heather Marlene Kozik | Developmental Therapist | 909 Greenleaf Dr, Joliet, IL 60436-9724 | 2015-04-20 |
| 1992104319 | Laura C Novak | Developmental Therapist | 907 Bluebell Cir, Joliet, IL 60431-8875 | 2014-08-21 |
| 1326457128 | Jennifer Marie Matl | Developmental Therapist | 3502 Sumac Dr, Joliet, IL 60435-9018 | 2014-08-05 |
| 1225458045 | Jill Zwartz | Developmental Therapist | 2907 Carol Dr, Joliet, IL 60432-9609 | 2014-04-19 |
| 1215279062 | Ranisah Brown | Developmental Therapist | 526 S Chicago St, Joliet, IL 60436-2351 | 2013-03-20 |
| 1033457130 | Stephanie Ann Zych | Developmental Therapist | 3704 Saratoga Dr, Joliet, IL 60435-1565 | 2013-01-23 |
| 1104181684 | Kirsten E Kokalj | Developmental Therapist | 1509 Ridge Brook Dr, Joliet, IL 60431-5348 | 2012-07-10 |
| 1841504784 | Elaine Lethiot-cabrera | Developmental Therapist | 117 Earl Ave, Joliet, IL 60436-1416 | 2010-08-03 |
| Find all providers in JOLIET | ||||
Please comment or provide details below to improve the information on MRS. SADRA RAE WEST.
| 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.