MS. KATHLEEN M. VIGELAND (NPI# 1215250618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215250618 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN M. VIGELAND |
| Other Name | MRS. KATHLEEN M. GOLZ |
| Credential | M.S., T.V.I, IT DS |
| Practice Address |
3637 Fourth St N St Petersburg FL 33704-1337 |
| Mailing Address |
P.o. Box 136 Bradenton FL 34206-0136 |
| Practice Telephone | 9415452323 |
| Mailing Telephone | 9415452323 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 222Q00000X | Developmental Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3637 FOURTH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| Find all providers in zip 33704 | ||||
| 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 |
|---|---|---|---|---|
| 1083252381 | Dawn Eu'lette Dixon | Developmental Therapist | 3201 Burlington Ave N Unit 410, St Petersburg, FL 33713-8661 | 2019-12-17 |
| 1144793662 | Marlucia Chouinard | Developmental Therapist | 7316 Parkside Villas Dr N, St Petersburg, FL 33709-1382 | 2019-01-08 |
| 1093280505 | Courtney Ziesenheim | Developmental Therapist | 3779 24th Ave N, St Petersburg, FL 33713-3401 | 2018-10-11 |
| 1588966675 | Leanne Scalli | Developmental Therapist | 880 6th St S Dept 70-7825, Suite 490, St Petersburg, FL 33701-4827 | 2010-11-23 |
| 1093952897 | Linda M Hubner | Developmental Therapist | 2000 Almeria Way S, St Petersburg, FL 33712-4417 | 2009-01-15 |
| 1306083530 | Yana Sirotkin | Developmental Therapist | 968 Lake Placido Ct Ne, St Petersburg, FL 33703-3174 | 2009-01-09 |
| 1427215565 | Yvette Mcniece | Developmental Therapist | 123 17th Ave Se, St Petersburg, FL 33701-5907 | 2008-05-16 |
| 1003089988 | Suzanne M Tredo | Developmental Therapist | 2642 36th Ave N, St Petersburg, FL 33713-1728 | 2008-04-10 |
| 1730235219 | Holly D Johnson | Developmental Therapist | 2390 51st St N, St Petersburg, FL 33710-3539 | 2007-01-26 |
| 1063843472 | Patricia Nash Smoot | Developmental Therapist | 4219 28th Ave N, St Petersburg, FL 33713-2232 | 2013-12-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
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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.