THE DEVELOPMENTAL ADVANTAGE, LLC (NPI# 1376919241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376919241 |
| Entity Type | Organization |
| Organization Name | THE DEVELOPMENTAL ADVANTAGE, LLC |
| Practice Address |
12 Killen Hollow Dr Cross Lanes WV 25313-3516 |
| Mailing Address |
Po Box 7533 Charleston WV 25356-0533 |
| Practice Telephone | 3048812585 |
| Mailing Telephone | 3048812585 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | CATHY JO HIGGINS (OWNER) |
| Authorized Official Telephone | 3048812585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 1125 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12 KILLEN HOLLOW DR |
| City | CROSS LANES |
| State | WV |
| Zip Code | 25313-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033583828 | Shanna Carter | Occupational Therapist | 12 Killen Hollow Dr, Cross Lanes, WV 25313-3516 | 2015-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869183 | Shante Hamrick | Technician | 5130 Waycross Drive, Cross Lanes, WV 25313 | 2019-09-11 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1902221310 | David Alan Haynes Jr. | Physical Therapist | 314 Goff Mountain Rd. (ste 13), Ste 13, Cross Lanes, WV 25313 | 2014-02-20 |
| 1073897344 | Rhonda M Knight | Physical Therapist | 314 Goff Mtn. Rd., Suite 13, Cross Lanes, WV 25313 | 2011-10-05 |
| 1083853683 | Mitri A. Ghareeb, Dds, PC | Dentist | 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 | 2009-02-05 |
| 1295944460 | John C. Taylor | Pharmacist | 5455f Big Tyler Rd., Cross Lanes, WV 25313 | 2007-05-22 |
| 1194890657 | Linda O Workman | Psychologist | 202 Glass Drive, Cross Lanes, WV 25313 | 2006-11-21 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1770676413 | Mark S. Calfee, Dc | Chiropractor | 5390 Big Tyler Rd, Cross Lanes, WV 25313 | 2006-10-02 |
| 1578663589 | Dewey Wilson Mann Jr. | Dentist | 104 Goff Mtn Rd, Cross Lanes, WV 25313 | 2006-09-22 |
| Find all providers in zip 25313 | ||||
| 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 |
|---|---|---|---|---|
| 1245846161 | Savanna Patricia Morgan | Developmental Therapist | 722 Main St E, White Sulphur Springs, WV 24986-3002 | 2020-09-16 |
| 1750917050 | Terry Gruber | Developmental Therapist | 1840 S Fork Little Cacapon Rd, Augusta, WV 26704-7391 | 2020-03-18 |
| 1295005635 | Tonya Renee Brock | Developmental Therapist | 6 Hidden Vly, Chapmanville, WV 25508-9796 | 2012-01-02 |
| 1598034159 | Carol Babash Mongold | Developmental Therapist | 211 Mountain Acres Loop, Moorefield, WV 26836-8146 | 2011-12-27 |
| 1619246519 | Jennifer Wyne | Developmental Therapist | 4 Hollen Cir, Fairmont, WV 26554-5021 | 2011-12-21 |
| 1912147323 | Nicole Rae Whitt | Developmental Therapist | 5819 Ohio River Rd, Huntington, WV 25702-9617 | 2009-02-25 |
| 1609145473 | Jamie Parks | Developmental Therapist | 1305 National Rd, Wheeling, WV 26003-5705 | 2011-12-22 |
| 1912276783 | Shawna Shepherd | Developmental Therapist | 1305 National Rd, Wheeling, WV 26003-5705 | 2011-12-22 |
| 1205105079 | Melody Holliday | Developmental Therapist | 1305 National Rd, Wheeling, WV 26003-5705 | 2011-12-22 |
| City | CROSS LANES |
| Zip Code | 25313 |
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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.