MARKEYIA SMITH


Address: 1931 Grove Ave Apt B2, Berwyn, IL 60402-1760
Phone: 7739811413

MARKEYIA SMITH (NPI# 1396098547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396098547
Entity Type Individual
Full Name MARKEYIA SMITH
Practice Address 1931 Grove Ave Apt B2
Berwyn
IL 60402-1760
Mailing Address 1931 S. Grove Ave. B2
Berwyn
IL 60402
Practice Telephone 7739811413
Mailing Telephone 7739811413
Enumeration Date 2012-10-24
Last Update Date 2012-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1931 GROVE AVE APT B2
City BERWYN
State IL
Zip Code 60402-1760

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619586518 Lisa K Anderson-shaw Clinical Ethicist Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 2020-07-27
1922622380 Ayesha Ikram Internal Medicine Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 2020-06-02
1598329146 Eleanor Teoh Student in an Organized Health Care Education/Training Program Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 2019-04-30
1376013920 Virginia Mireles Behavior Technician 2317 S. Home, Berwyn, IL 60402 2018-11-27
1245709047 Saraswati Koirala Dentist 1227 S Harlem Ave Apt414, Berwyn, IL 60402 2018-11-21
1295204220 Dental Town Ltd Dentist 7106 W Cermak Rd, Berwyn, IL 60402 2018-11-20
1396231684 Toya M Gildart Counselor Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 2018-07-10
1437655685 Ana Luisa Desantiago Social Worker 3245 Grove Ave Ste 201, Berwyn, IL 60402 2018-04-04
1821520198 Chetan Velagapudi Student in an Organized Health Care Education/Training Program 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 2017-03-28
1174976567 Sydney Talavera Counselor 6415 Stanley Ave., Berwyn, IL 60402 2016-07-20
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992302954 Vannetta C Thompson Developmental Therapist 2247 Gunderson Ave Apt 2, Berwyn, IL 60402-5147 2020-10-02
1083187306 Stacey Lynn Williams Developmental Therapist 1822 Oak Park Ave, Berwyn, IL 60402-1708 2019-01-09
1013418680 Margarita Moreno Developmental Therapist 3731 Wesley Ave, Berwyn, IL 60402-4025 2018-02-28
1225551732 Kristien Ariel Hernandez Developmental Therapist 2216 Kenilworth Ave, Berwyn, IL 60402-2211 2017-07-18
1396287421 Andrea Smith Developmental Therapist 1211 Cuyler Ave, Berwyn, IL 60402-1118 2016-11-07
1114376423 Elizabeth Bormann Developmental Therapist 2818 Ridgeland Ave, Berwyn, IL 60402-6601 2016-06-07
1235341694 Maria Lago Developmental Therapist 3146 Maple Ave, Berwyn, IL 60402-2851 2007-05-05
1497886352 Distinctive Developmental Therapy Services Inc Developmental Therapist 1842 S Home Ave, #2, Berwyn, IL 60402-1618 2007-03-09
1942331806 Mario Aguilar Developmental Therapist 1842 S Home Ave, #2, Berwyn, IL 60402-1618 2007-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003413568 Amy Rohan Developmental Therapist 17545 Mulberry Ave, Tinley Park, IL 60487-6163 2020-10-07
1477150506 Quanita Crawford Developmental Therapist 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 2020-10-01
1740897412 Angela Perry Developmental Therapist 521 Eden Park Dr, Rantoul, IL 61866-1507 2020-09-28
1235746975 Dominique Scott Developmental Therapist 5342 S Wells St, Chicago, IL 60609-6219 2020-09-27
1003429820 Adrienne C Latronica Developmental Therapist 9865 Cordoba Ct Apt 2b, Orland Park, IL 60462-3190 2020-08-31
1669083424 Lindsay Miner Developmental Therapist 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 2020-08-13
1851901672 Gretchen Susanne Biggerstaff Developmental Therapist 1706 S Hancock St, Mc Leansboro, IL 62859-1996 2020-08-06
1205446549 Rene Yvonne Green Developmental Therapist 14425 E Blue Ridge Dr, Effingham, IL 62401-7168 2020-08-02
1306455357 Noel Elizabeth Ryall Developmental Therapist 9123 Baldwin Dr, Machesney Park, IL 61115-1715 2020-07-27
1275141533 Megan Elizabeth Myers Developmental Therapist 407 Brian Dr, Manteno, IL 60950-1651 2020-07-22
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Competitor

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City BERWYN
Zip Code 60402

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Dataset Information

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.

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