SANTA MEDINA


Address: 1219 George St, Kissimmee, FL 34741-3936
Phone: 4073011925

SANTA MEDINA (NPI# 1528486388) 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) 1528486388
Entity Type Individual
Full Name SANTA MEDINA
Practice Address 1219 George St
Kissimmee
FL 34741-3936
Practice Telephone 4073011925
Mailing Telephone 4073011925
Enumeration Date 2014-03-30
Last Update Date 2014-03-31
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 1219 GEORGE ST
City KISSIMMEE
State FL
Zip Code 34741-3936

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083239834 Kathia I Torres Cintron Occupational Therapy Assistant 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 2020-06-08
1992340046 Zynia Spencer Marriage & Family Therapist 345 W. Oak St., Kissimmee, FL 34741 2019-11-13
1225597784 Leila Rosado Counselor All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 2019-03-14
1235610312 Yashirah Castillo Behavior Technician 230 Country Blvd, Apt 6, Kissimmee, FL 34741 2018-08-27
1376021352 Julio Cesar Castellanos Nurse Practitioner 1050 W Carroll St Apt 149, Kissimmee, FL 34741 2018-08-01
1245724715 Sonia Teresa Rodriguez Counselor 3438 W. Vine Street, Kissimmee, FL 34741 2018-06-19
1700376316 Jessica Mateo Social Worker 111 E Monument Ave Unit 412, Kissimmee, FL 34741 2018-05-18
1306340880 George Gianakakos Psychiatry & Neurology 720 W. Oak St., Suite 360, Kissimmee, FL 34741 2018-03-20
1154825693 Mary Catherine Slome Student in an Organized Health Care Education/Training Program 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 2018-03-20
1457855991 Sherwin Zachariah Thomas Student in an Organized Health Care Education/Training Program 720 W. Oak St., Ste 201, Kissimmee, FL 34741 2018-03-20
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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
1427609460 Eliana Diaz Developmental Therapist 403 Short Dr, Kissimmee, FL 34759-4025 2019-09-20
1477910784 Lismariel Esteves Developmental Therapist 2011 Piedmont Ln, Kissimmee, FL 34744-5938 2016-01-19
1154791697 Sophia Rayam Developmental Therapist 1441 Fortune Retail Ct # 256, Kissimmee, FL 34744-3999 2015-09-27
1740576164 Samuel Davis Developmental Therapist 1200 N Central Ave Ste 212, Kissimmee, FL 34741-4440 2011-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830595 Community Children's Therapy, Inc Developmental Therapist 12353 Natalies Cove Rd, Cooper City, FL 33330 2020-10-27
1437756327 Tabrisha Ruy Developmental Therapist 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 2020-10-05
1316554116 Carley Alexandra Scartz-nisbet Developmental Therapist 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 2020-09-25
1992319909 Kelly Todd Developmental Therapist 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 2020-09-07
1104436963 Cassandra Hert Developmental Therapist 13738 Alesbury Ct, Jacksonville, FL 32224-2236 2020-08-06
1750991188 Kimberley Nunez Developmental Therapist 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 2020-07-31
1821607441 Nakeshia Woody Developmental Therapist 3209 E North Bay St, Tampa, FL 33610-6927 2020-07-29
1851900922 Nathalia Brown Developmental Therapist 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 2020-07-24
1053929752 Jill Schnortz Developmental Therapist 484 Nw 232nd Ter, Newberry, FL 32669-2282 2020-07-20
1447868310 Carleen Korkin Developmental Therapist 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 2020-07-16
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Competitor

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City KISSIMMEE
Zip Code 34741

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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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