CASSANDRA WILSON (NPI# 1386023307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386023307 |
| Entity Type | Individual |
| Full Name | CASSANDRA WILSON |
| Credential | PTA |
| Practice Address |
4495 E Giro Rd Hazleton IN 47640-9303 |
| Practice Telephone | 8126648531 |
| Mailing Telephone | 8126648531 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 06002568A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184168940 | Cassandra Wilson | Counselor | 12900 W 110th St, Overland Park, KS 66210-1253 | 2016-12-13 |
| 1629419734 | Cassandra Denise Wilson | Counselor | 280 Verbena Dr, East Palo Alto, CA 94303-2522 | 2013-07-17 |
| 1023634441 | Cassandra L Wilson | Social Worker | 500 Madison Ave Ste 510, Toledo, OH 43604-1210 | 2020-06-22 |
| 1811532062 | Cassandra Wilson | Counselor | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2019-11-12 |
| 1891273595 | Cassandra Jane Wilson | Behavior Technician | 7150 Campus Dr Ste 160, Colorado Springs, CO 80920-3178 | 2018-08-03 |
| 1831612597 | Cassandra Wilson | Nurse Practitioner | 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | 2017-07-24 |
| 1184153645 | Cassandra Wilson | Specialist | 10541 Drummond Rd, Philadelphia, PA 19154 | 2017-06-08 |
| 1679004451 | Cassandra Mary Wilson | Psychoanalyst | 16150 Ne 85th St Ste 220, Redmond, WA 98052-3546 | 2017-03-23 |
| 1174955629 | Cassandra Susann Wilson | Counselor | 10828 Gravelly Lake Dr. Sw, Suite 204, Lakewood, WA 98499 | 2013-08-07 |
| 1497030076 | Cassandra D. Wilson | Physician Assistant | 825 Fairfax Ave, Suite 545, Norfolk, VA 23507-1914 | 2011-10-14 |
| Street Address |
4495 E GIRO RD |
| City | HAZLETON |
| State | IN |
| Zip Code | 47640-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1396343950 | Loving Doves Homecare Agency LLC | In Home Supportive Care | 415 W 7th St, Hazleton, PA 18201-4229 | 2020-10-15 |
| 1891311650 | Tiffany Amber Zieser | Nurse Practitioner | 1383 Fontana Blvd, Hazleton, IA 50641-5064 | 2020-06-17 |
| 1992335244 | Alfreda A Wujcik | Counselor | 750 E Broad Street, Hazleton, PA 18201 | 2020-01-24 |
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1053965061 | Sandra Esperanza Delgado | Social Worker | 200 W Chapel St, Hazleton, PA 18201-6245 | 2019-07-29 |
| 1770146730 | Maynor R Rodriguez | Secured Medical Transport (VAN) | 328 E Broad St Apt 1, Hazleton, PA 18201-6650 | 2019-04-16 |
| 1083177349 | Thinking It Through PC | Clinic/Center | 780 N Church St Ste G004, Hazleton, PA 18201-2901 | 2019-04-12 |
| 1811468127 | Omni Health Services, Inc. | Peer Specialist | 1747 B East Broad Street, Hazleton, PA 18201 | 2018-12-13 |
| Find all providers in HAZLETON | ||||
| 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 |
|---|---|---|---|---|
| 1952918757 | Alayna Kaye Gray | Developmental Therapist | 3825 S Woods Edge Bnd, Bloomington, IN 47401-8436 | 2020-09-25 |
| 1184236168 | Debbie Hargett | Developmental Therapist | 3911 Polk Rd, Boonville, IN 47601-8617 | 2020-08-20 |
| 1023620598 | Sarah C Dennis | Developmental Therapist | 1809 Columbus Blvd, Kokomo, IN 46901-1871 | 2020-08-17 |
| 1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
| 1245848746 | Bayley Brutus | Developmental Therapist | 3149 Congress Dr, Kokomo, IN 46902-8032 | 2020-07-21 |
| 1003431859 | Michele L Lloyd | Developmental Therapist | 975 S 650 E, Montgomery, IN 47558-5592 | 2020-06-08 |
| 1063032274 | Sharon Lynn Dalton | Developmental Therapist | 9957 S State Road 335, Pekin, IN 47165 | 2020-04-17 |
| 1457987612 | Sonya Overman | Developmental Therapist | 18241 County Road 40, Goshen, IN 46526-5447 | 2020-03-19 |
| 1144854449 | Karen M Moore | Developmental Therapist | 26191 Pocket Rd Apt 2, Batesville, IN 47006-9617 | 2020-02-25 |
| 1598397754 | Shannon Deann Belt | Developmental Therapist | 6084 N Daden Dr, Alexandria, IN 46001-9227 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
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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.